Active NPI
Aimee J Criscuolo Beck, P.A.
- Medical Physician Assistant
- Groton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000925
- Practice address
- 481 Gold Star Hwy Ste 100
Groton, CT 06340-6702 - Phone
- (860) 446-8858
- Fax
- (860) 405-2140
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000925 | CT | Primary |
Addresses
Primary practice location
481 Gold Star Hwy Ste 100
Groton, CT 06340-6702
Mailing address
420 Saybrook Rd
Middletown, CT 06457-4747
Phone (860) 626-2010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000925 | Other | CT | CONNECTICARE |
| 290000925CT01 | Other | CT | ANTHEM BC/BS |
Other names 1
- Aimee Criscuolo
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100911000132 | CT | Practitioner - Physician Assistant | 8224126933 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- George Washington University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
14 Jones Hollow Rd
Marlborough, CT 06447-1448
Phone (860) 295-8030
420 Saybrook Rd
Middletown, CT 06457-4747
Phone (860) 636-2010
51 Main St
Old Saybrook, CT 06475-1511
Phone (860) 636-2100
Hospital & facility affiliations
- Middlesex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000925 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Shoreline Medical Associates LLC | Past | Accepting new patients |
Locations
420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258
420 Saybrook Rd
Ste A
Middletown, CT 06457
Phone (860) 347-4258
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- aimee.criscuolo-beck@xdr.hhchealthdirect.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
CT
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Specialist
- Madison, CT
- NPI 1497750798
Hospital & facility affiliations 1
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": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1124122650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574747",
"telephone_number": "860-626-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 GOLD STAR HWY STE 100",
"city": "GROTON",
"state": "CT",
"postal_code": "063406702",
"telephone_number": "860-446-8858",
"fax_number": "860-405-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISCUOLO BECK",
"first_name": "AIMEE",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "000925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "000925",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "290000925CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "CRISCUOLO",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.