Individual provider Active NPI

Carly Bendzans, CNM

  • Advanced Practice Midwife
  • West Hartford, CT
National Provider Identifier
1083002158
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
486 Issued in CT
Practice address
2550 Albany Ave # 1120
West Hartford, CT 06117-2335
Phone
(508) 272-2668
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 201911184NP-PP OR
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X 486 CT Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.016683 CT

Addresses

Primary practice location

2550 Albany Ave # 1120
West Hartford, CT 06117-2335

Mailing address

40 Hillcrest Ave
Middletown, CT 06457-5322
Phone (860) 784-7659

Other practice location 1

64 Robbins St
Waterbury, CT 06708-2600
Phone (203) 573-6000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000539 CT Practitioner - Certified Nurse Midwife (CNM) 3173806957 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
486CTMDBehavioral Analyst
12.016683CTMDPsychiatric/Mental Health Nurse Practitioner
201911184NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc CurrentSince Dec 2, 2022 Accepting new patients
Seasons Behavioral Health Group Psychiatric/Mental Health CurrentSince Apr 6, 2023 Accepting new patients
MHS Primary Care, Inc CurrentSince Dec 2, 2022 Accepting new patients
Physicians for Women'S Health LLC Advanced Practice Midwife CurrentSince Apr 17, 2023 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

49 Crescent St
Middletown, CT 06457
Phone (860) 344-9993

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

10 Main St S
Southbury, CT 06488
Phone (203) 264-6334

134 Grandview Ave
Waterbury, CT 06708
Phone (203) 573-6270

2550 Albany Ave
West Hartford, CT 06117
Phone (860) 249-1185

Interoperability endpoints

  • Direct secure messaging: carly.bendzans.1@10170.direct.athenahealth.com
  • Direct secure messaging: cbendzans64356@middlesexhealthprd.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1083002158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HILLCREST AVE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575322",
            "telephone_number": "860-784-7659",
            "fax_number": "860-935-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ALBANY AVE # 1120",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172335",
            "telephone_number": "508-272-2668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Robbins St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082600",
            "country_code": "US",
            "telephone_number": "203-573-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDZANS",
        "first_name": "CARLY",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201911184NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "486",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.016683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.