Individual provider Active NPI

Caroline Christina Rainone

  • Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1134869092
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
010097 Issued in CT
Practice address
155 Hazard Ave Ste 2
Enfield, CT 06082-4586
Phone
(860) 698-6041
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 010097 CT Primary

Addresses

Primary practice location

155 Hazard Ave Ste 2
Enfield, CT 06082-4586

Mailing address

69A Kimball Dr
Hooksett, NH 03106-2617
Phone (860) 436-8521

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
I20240819000372 CT Practitioner - Nurse Practitioner 9234677535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Connecticut PCGroup PAC ID 1658753967, 8 clinicians

Practice addresses (Care Compare)

119 Hebron Ave
Unit B
Glastonbury, CT 06033-4223
Phone (860) 996-8117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010097CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MW Wellness VIII, LLC CurrentSince Jul 24, 2022 Accepting new patients
Ivx Health of Connecticut PC CurrentSince Jul 15, 2024 Accepting new patients
MW Wellness II, LLC PastSince Apr 3, 2022 Accepting new patients

Locations

155 Hazard Ave
Ste 2
Enfield, CT 06082
Phone (860) 698-6041

119 Hebron Ave
#B
Glastonbury, CT 06033
Phone (860) 996-8117

2533 Albany Ave
West Hartford, CT 06117
Phone (959) 666-8833

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1134869092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69A KIMBALL DR",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062617",
            "telephone_number": "860-436-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE STE 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824586",
            "telephone_number": "860-698-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINONE",
        "first_name": "CAROLINE",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "010097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.