Individual provider Active NPI

Di Yi He, APRN

  • Family Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1063082923
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.009914 Issued in CT
Practice address
764 Campbell Ave
West Haven, CT 06516-3786
Phone
(203) 931-0034
Fax
(203) 931-8225
NPI assigned
Jul 1, 2021
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.009914 CT Primary

Addresses

Primary practice location

764 Campbell Ave
West Haven, CT 06516-3786

Mailing address

764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone (203) 931-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205001908 CT Practitioner - Nurse Practitioner 5294104774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine of West Haven LLCGroup PAC ID 3476567892, 5 clinicians

Practice addresses (Care Compare)

764 Campbell Ave
Suite E
West Haven, CT 06516-3786
Phone (203) 931-0034

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.009914CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of West Haven LLC Family CurrentSince Nov 1, 2025 Accepting new patients
Matrix Medical Plus CurrentSince Sep 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

764 Campbell Ave
West Haven, CT 06516
Phone (203) 901-0424

764 Campbell Ave
Ste E
West Haven, CT 06516
Phone (203) 931-0034

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDDAD/Endpoint/ADDDAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1063082923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-931-0034",
            "fax_number": "203-931-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-931-0034",
            "fax_number": "203-931-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "DI YI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.009914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.