Individual provider Active NPI

Maryellen Silva, NP

  • Family Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1063564524
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.003824 Issued in CT
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-5209
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 12.003824 CT Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

127 Smith St
Fairfield, CT 06824-6636
Phone (203) 505-9424

Other practice location 1

915 Ella T Grasso Blvd
New Haven, CT 06519-5516
Phone (203) 214-1726

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
I20100121000618 CT Practitioner - Nurse Practitioner 3072655570 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marymount University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians
Catholic Charities of Fairfield County IncGroup PAC ID 8527955970, 7 clinicians
CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

Practice addresses (Care Compare)

340 Grasmere Ave
Fairfield, CT 06824-6155
Phone (860) 650-3848

405 Main St
Danbury, CT 06810-4710
Phone (203) 743-4412

677 Connecticut Ave
Norwalk, CT 06854-1645
Phone (203) 298-9752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12.003824CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Catholic Charities of Fairfield County Inc CurrentSince Dec 11, 2023 Accepting new patients
Neighborhood Health, Inc. Family CurrentSince Dec 21, 2015 Accepting new patients
Stamford UC PC CurrentSince Dec 28, 2024 Accepting new patients
Catholic Charities of Fairfield County, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Urgent Care Medical Associates, LLC Family CurrentSince Mar 1, 2025 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

2660 Main St
Ste 216
Bridgeport, CT 06606
Phone (203) 335-0919

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

405 Main St
Danbury, CT 06810
Phone (203) 416-1503

340 Grasmere Ave
Fairfield, CT 06824

120 East Ave
Ste 2
Norwalk, CT 06851
Phone (203) 750-9711

900 Main St S
Ste 100
Southbury, CT 06488
Phone (203) 262-1911

3000 Summer St
Stamford, CT 06905
Phone (203) 969-2000

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1040 Barnum Ave
Stratford, CT 06614
Phone (203) 377-5733

Interoperability endpoints

  • Direct secure messaging: maryellenz.silva@xdr.hhchealthdirect.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1063564524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SMITH ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246636",
            "telephone_number": "203-505-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Ella T Grasso Blvd",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065195516",
            "country_code": "US",
            "telephone_number": "203-214-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MARYELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.003824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.