Individual provider Active NPI

Shinymol Chemmarappally, APRN

  • Family Nurse Practitioner
  • Oxford, CT
National Provider Identifier
1154637296
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
004455 Issued in CT
Practice address
9 Bishop Rd
Oxford, CT 06478-1597
Phone
(866) 881-0979
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004455 CT Primary

Addresses

Primary practice location

9 Bishop Rd
Oxford, CT 06478-1597

Mailing address

9 Bishop Rd
Oxford, CT 06478-1597
Phone (866) 881-0979

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
I20110224000115 CT Practitioner - Nurse Practitioner 1850584806 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLC 190 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004455CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Mar 23, 2015 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Mar 23, 2015 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
HDC Care Solutions, LLC Family CurrentSince May 1, 2022 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

Organizations & group practices 7

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1154637296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BISHOP RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781597",
            "telephone_number": "866-881-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BISHOP RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781597",
            "telephone_number": "866-881-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMMARAPPALLY",
        "first_name": "SHINYMOL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, CT

Sources for this page

Verify at the official NPI Registry.