Individual provider Active NPI

Mary Alexandra Hartman, APRN

  • Nurse Practitioner
  • New Britain, CT
National Provider Identifier
1184814923
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13819 Issued in CT
Practice address
85 Lafayette St
New Britain, CT 06051-1803
Phone
(860) 224-3642
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R164047 MD
Nurse Practitioner 363L00000X 13819 CT Primary
Nurse Practitioner 363L00000X R164047 MD

Addresses

Primary practice location

85 Lafayette St
New Britain, CT 06051-1803

Mailing address

22 South Green Street
Baltimore, MD 21201

Other practice location 1

701 W. Pratt St
Room 569
Baltimore, MD 21201
Phone (410) 328-2564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, MA, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080521000201 MD Practitioner - Nurse Practitioner 7416026182 Reassigns benefits to 2 organizations
I20201117001930 DC Practitioner - Nurse Practitioner 7416026182 Reassigns benefits to 1 organization
I20231222000095 MA Practitioner - Nurse Practitioner 7416026182 Reassigns benefits to 3 organizations
I20241028000309 CT Practitioner - Nurse Practitioner 7416026182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater New Bedford Community Health Center IncGroup PAC ID 7214848811, 49 clinicians

Practice addresses (Care Compare)

874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553

Hospital & facility affiliations

  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13819CTMDOrthodontics and Dentofacial Orthopedic Dentist
R164047MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Worcester, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Community Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Nov 16, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 16, 2020 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 16, 2020 Accepting new patients
Family Health Center of Worcester, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Community Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients
TCMG PA CurrentSince Apr 30, 2017 Accepting new patients

Locations

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9512 Harford Rd
Ste 4
Parkville, MD 21234
Phone (410) 665-4400

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1184814923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SOUTH GREEN STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LAFAYETTE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511803",
            "telephone_number": "860-224-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W. Pratt St",
            "address_2": "Room 569",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-2564",
            "fax_number": "410-328-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MARY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R164047",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "13819",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R164047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.