Ana Lydia Caceres, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Hartford, CT
NPI 1104175520 · NPPES record last updated Dec 8, 2015
Key facts
- NPI
- 1104175520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 005131 (CT)
- Practice address
- 80 Seymour Street
Hartford Hospital Infectious Disease
Hartford, CT 06102-5037 - Phone
- (860) 972-2878
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-2841
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150115000778 | CT | Practitioner - Nurse Practitioner | 9739403064 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5131 | CT | MD | Social Worker |
| 005131 | CT | MD | Clinical Social Worker |
| E56601 | CT | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charter Oak Health Center, Inc. | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Hartford Hospital | Current |
Accepting new patients | |
| Charter Oak Health Center, Inc. | Current |
Accepting new patients | |
| Hartford Hospital | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current |
Accepting new patients |
Locations
21 Grand St
Hartford, CT 06106
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 224-5305
Interoperability endpoints
- ana.caceres@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | E56601 | CT | |
| Nurse Practitioner | 363L00000X | 005131 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 005131 | CT | Yes |
Addresses
Primary practice location
80 Seymour Street
Hartford Hospital Infectious Disease
Hartford, CT 06102-5037
Mailing address
80 Seymour Street
Hartford Hospital Infectious Disease
Hartford, CT 06102-5037
Phone (860) 972-2878
Other providers in Hartford, CT
- Irsal Cabahug
- Jasmine D Caban
- Kenneth Cabatingan
- Leigh Mae Cabral
- Ray Victor Sistona Cabuslay
- Ashley Caceres
- Pamela Caceres
- Lovette A Caesar-Johnson
- Kelly E Cafferty
- Jamie Cagianello
All providers in Hartford, CT · Adult Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.