Active NPI
Melissa Ruth Goclowski, APRN
- Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 005083
- Practice address
- 31 Seymour St
Ste 100
Hartford, CT 06106-5521 - Phone
- (860) 549-3210
- Fax
- (860) 247-3803
- NPI assigned
- Aug 30, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 005083 | CT | Primary |
Addresses
Primary practice location
31 Seymour St
Ste 100
Hartford, CT 06106-5521
Mailing address
270 Farmington Ave
Suite 102
Farmington, CT 06032
Phone (860) 549-8276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005083 | Other | CT | APRN LICENSE |
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5083 | CT | MD | Occupational Therapist |
| 005083 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients |
Locations
100 Hazard Ave
Enfield, CT 06082
Phone (860) 696-2380
270 Farmington Ave
Ste 102
Farmington, CT 06032
499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986
345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288
32 Seymour St
Hartford, CT 06106
Phone (860) 972-1128
31 Seymour St
Fl 2
Hartford, CT 06106
Phone (860) 972-0050
31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208
85 Seymour St
Ste 607
Hartford, CT 06106
Phone 8605493210 ext. 8979
1000 Asylum Ave
Hartford, CT 06105
Phone (860) 714-4532
505 Willard Ave
Bldg A
Newington, CT 06111
201 N Mountain Rd
Ste 3
Plainville, CT 06062
1111 Cromwell Ave
Ste 301
Rocky Hill, CT 06067
Phone (860) 244-8857
Organizations & group practices 4
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 1407806391
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Orthopaedic Surgery Physician
- Hartford, CT
- NPI 1972500304
-
- Durable Medical Equipment & Medical Supplies
- Enfield, CT
- NPI 1235922584
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1124377536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE",
"address_2": "SUITE 102",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "06032",
"telephone_number": "860-549-8276",
"fax_number": "860-674-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SEYMOUR ST",
"address_2": "STE 100",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065521",
"telephone_number": "860-549-3210",
"fax_number": "860-247-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOCLOWSKI",
"first_name": "MELISSA",
"middle_name": "RUTH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "005083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "005083",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.