Active NPI
Rose Claire Antoine, A-GNP-C
- Primary Care Nurse Practitioner
- Hamden, CT
National Provider Identifier
1114677713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AG03220092
- Practice address
- 17 Raelin Rd
Hamden, CT 06514-1108 - Phone
- (203) 589-0001
- NPI assigned
- Mar 25, 2022
- Last updated
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AG03220092 | CT | Primary |
Addresses
Primary practice location
17 Raelin Rd
Hamden, CT 06514-1108
Mailing address
17 Raelin Rd
Hamden, CT 06514-1108
Phone (203) 589-0001
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 83.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10563 | CT | MD | Clinical Social Worker |
| AG03220092 | CT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Care, PC | Current | Accepting new patients | |
| Stella Medical Care LLC | Current | Accepting new patients | |
| Complete Wound Care LLC | Past | Accepting new patients |
Locations
2447 Whitney Ave
Ste 202
Hamden, CT 06518
Phone (203) 288-8300
136 Sherman Ave
Ste 504
New Haven, CT 06511
Phone (203) 684-2111
90 Morgan St
Ste 303
Stamford, CT 06905
Phone (203) 323-6873
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- New Haven, CT
- NPI 1215144100
-
- Adult Health Nurse Practitioner
- Stamford, CT
- NPI 1255851481
-
- General Practice Physician
- Wallingford, CT
- NPI 1033801568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1114677713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 RAELIN RD",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065141108",
"telephone_number": "203-589-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 RAELIN RD",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065141108",
"telephone_number": "203-589-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOINE",
"first_name": "ROSE",
"middle_name": "CLAIRE",
"credential": "A-GNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CT",
"license": "AG03220092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.