Individual provider Active NPI

Amanda Rachel Weinberger

  • Family Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1174973812
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6562 Issued in CT
Practice address
1752 Whitney Ave
Hamden, CT 06517-1425
Phone
(203) 848-1803
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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 6562 CT Primary

Addresses

Primary practice location

1752 Whitney Ave
Hamden, CT 06517-1425

Mailing address

212 Regis Dr
Meriden, CT 06450-8151
Phone (860) 301-0778

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
I20160912000109 CT Practitioner - Nurse Practitioner 1052607413 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians
RPM Care Coordination PCGroup PAC ID 6002205606, 42 clinicians

Practice addresses (Care Compare)

1291 Boston Post Rd
Suite 105
Madison, CT 06443-3476
Phone (860) 358-5100

154 Main St
Old Saybrook, CT 06475-2373
Phone (860) 358-5280

27 William F Palmer Rd
Moodus, CT 06469-1132
Phone (860) 358-5220

270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040

520 Saybrook Rd
Middletown, CT 06457-4700

6 Main St
Durham, CT 06422-2130
Phone (860) 358-5020

80 Shunpike Rd
Unit 301
Cromwell, CT 06416-4402
Phone (860) 358-5020

83 Wooster HTS
Suite 125
Danbury, CT 06810-7550
Phone 80098555967548

9 Wildwood Medical Ctr
Unit 2
Essex, CT 06426-1155

9 Wildwood Medical Ctr Unit
Suite 2
Essex, CT 06426-1155
Phone (860) 358-3170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Chustecka Internal Medicine of Greater New Haven Family CurrentSince Sep 1, 2016 Accepting new patients
Yale University CurrentSince May 30, 2018 Accepting new patients
MHS Primary Care, Inc Family CurrentSince Sep 23, 2019 Accepting new patients
Yale University CurrentSince May 30, 2018 Accepting new patients
MHS Primary Care Inc CurrentSince Sep 23, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

1952 Whitney Ave
Ste 3
New Haven, CT 06517
Phone (203) 288-0129

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: aweinberger18695@middlesexhealthprd.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1174973812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 REGIS DR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508151",
            "telephone_number": "860-301-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171425",
            "telephone_number": "203-848-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "AMANDA",
        "middle_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.