Individual provider Active NPI

Aileen Marie Deamer, APRN

  • Nurse Practitioner
  • Newington, CT
National Provider Identifier
1164418265
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002169 Issued in CT
Practice address
44 Willard Ave
Newington, CT 06111
Phone
(860) 666-6951
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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 002169 CT Primary

Addresses

Primary practice location

44 Willard Ave
Newington, CT 06111

Mailing address

25 Buena Vista Rd
West Hartford, CT 06107-3203
Phone (860) 561-5698

Other identifiers 1

IdentifierTypeStateIssuer
40002169CT10OtherANTHEM BCBS

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
I20200317002017 CT Practitioner - Nurse Practitioner 3577991918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Dermatology Associates PCGroup PAC ID 8628158334, 3 clinicians

Practice addresses (Care Compare)

65 Memorial Rd
Suite 450
West Hartford, CT 06107-4223
Phone (860) 523-1087

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002169CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dermatology Associates PC CurrentSince Jan 31, 2020 Accepting new patients
Dermatology Associates of Glastonbury LLC PastSince Dec 26, 1995 Accepting new patients

Locations

65 Memorial Rd
Ste 450
West Hartford, CT 06107
Phone (860) 523-1087

Interoperability endpoints

  • Direct secure messaging: adeamer@hartfordderm.emadirect.md

Organizations & group practices 2

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1164418265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BUENA VISTA RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073203",
            "telephone_number": "860-561-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-666-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAMER",
        "first_name": "AILEEN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "40002169CT10",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.