Individual provider Active NPI

Melissa Kay Tuohy, APRN, AGNP-C

  • Gerontology Nurse Practitioner
  • Wallingford, CT
National Provider Identifier
1073392817
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
12434 Issued in CT
Practice address
67 Masonic Ave Ste 2400
Wallingford, CT 06492-3099
Phone
(203) 793-3420
Fax
(203) 404-5790
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 12434 CT Primary

Addresses

Primary practice location

67 Masonic Ave Ste 2400
Wallingford, CT 06492-3099

Mailing address

7 Summerwood Dr
Wallingford, CT 06492-3430
Phone (203) 814-9864

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
I20240219001501 CT Practitioner - Nurse Practitioner 3678917614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Wound Care LLCGroup PAC ID 8729445580, 8 clinicians

Practice addresses (Care Compare)

67 Masonic Ave
Suite 2400
Wallingford, CT 06492-3099
Phone (203) 408-2462

Hospital & facility affiliations

  • Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine & Sports Medicine, PC Nurse Practitioner CurrentSince Feb 26, 2024 Accepting new patients
Complete Wound Care LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1579 Straits Tpke
Lowr
Middlebury, CT 06762
Phone (203) 598-7246

20 Commerce Park
Ste 1
Milford, CT 06460
Phone (203) 951-8360

136 Sherman Ave
Ste 504
New Haven, CT 06511
Phone (203) 684-2111

166 Waterbury Rd
Ste 204
Prospect, CT 06712
Phone (203) 598-7246

67 Masonic Ave
Ste 2400
Wallingford, CT 06492
Phone (203) 284-3159

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_ISSM
  • Direct secure messaging: mtuohy@iss1780.srs-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1073392817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUMMERWOOD DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923430",
            "telephone_number": "203-814-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE STE 2400",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923099",
            "telephone_number": "203-793-3420",
            "fax_number": "203-404-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUOHY",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "12434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.