Alfredo Axtmayer II, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · New Haven, CT
NPI 1104210491 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1104210491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 6923 (CT)
- Practice address
- 20 York Street
Smilow Cancer Center
New Haven, CT 06510 - Phone
- (203) 200-4422
- Fax
- (203) 200-6950
- NPI assigned
- Mar 24, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Missouri, Columbia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Yale University
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 785-4638
Hospital & facility affiliations
- Yale-New Haven Hospital
- Bridgeport Hospital
- Lawrence & Memorial Hospital
- Greenwich Hospital Association -
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
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 |
|---|---|---|---|---|
| I20170823003485 | CT | Practitioner - Nurse Practitioner | 8527347525 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
20 York St
#8
North Haven, CT 06510
Phone (203) 200-6262
20 York St
North Haven, CT 06510
Phone (203) 688-2433
Interoperability endpoints
- aaxtmayer368764@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 6923 | CT | Yes |
Addresses
Primary practice location
20 York Street
Smilow Cancer Center
New Haven, CT 06510
Mailing address
20 York Street
Smilow Cancer Center - NP 8
New Haven, CT 06510
Phone (203) 200-4422
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (203) 526-2514
Other providers in New Haven, CT
- Abraham Joseph Avni-Singer
- Ahmed Awad
- Noura Aymen Awad
- Zara Awan
- Axim Medicine PLLC
- Trystan James Ayala
- Elizabeth Nayiri Ayanian
- Omair Ayaz
- Cephas Ayellakai
- Michael Adrian Ayepah
All providers in New Haven, 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 Jul 21, 2022. 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.