Individual provider Active NPI

Rose Claire Antoine, A-GNP-C

  • Primary Care Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1114677713
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AG03220092 Issued in CT
Practice address
17 Raelin Rd
Hamden, CT 06514-1108
Phone
(203) 589-0001
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306000099 CT Practitioner - Nurse Practitioner 9931572369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
77.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10563CTMDClinical Social Worker
AG03220092CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Care, PC CurrentSince Feb 14, 2023 Accepting new patients
Stella Medical Care LLC CurrentSince Jun 24, 2025 Accepting new patients
Complete Wound Care LLC PastSince Oct 1, 2025 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.

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

Verify at the official NPI Registry.