Individual provider Active NPI

Catherine Champagne

  • Adult Health Nurse Practitioner
  • Monroe, CT
National Provider Identifier
1093063430
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
005032 Issued in CT
Practice address
324 Elm St
Suite 202B
Monroe, CT 06468-2280
Phone
(203) 567-0306
NPI assigned
Aug 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 005032 CT Primary

Addresses

Primary practice location

324 Elm St
Suite 202B
Monroe, CT 06468-2280

Mailing address

61 Ann Dr
Bethany, CT 06524-3133

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
I20120926000337 CT Practitioner - Nurse Practitioner 6103075775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005032CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 1, 2022 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Midstate Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Gaylord Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 1, 2022 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

Interoperability endpoints

  • Direct secure messaging: catherine.champagne@xdr.hhchealthdirect.org

Organizations & group practices 7

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 2

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1093063430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ANN DR",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ELM ST",
            "address_2": "SUITE 202B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682280",
            "telephone_number": "203-567-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "005032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

Verify at the official NPI Registry.