Active NPI
Gayle Jean Roussel, APRN
- Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7419
- Practice address
- 1000 Asylum Ave
Hartford, CT 06105-1770 - Phone
- (860) 522-3711
- NPI assigned
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7419 | CT | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 7419 | CT |
Addresses
Primary practice location
1000 Asylum Ave
Hartford, CT 06105-1770
Mailing address
1000 Asylum Ave
Hartford, CT 06105-1770
Phone (860) 522-3711
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Connecticut School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLean Fund
Practice addresses (Care Compare)
11 S Rd
Suite 250
Farmington, CT 06032-2484
Phone (860) 674-0222
75 Great Pond Rd
Simsbury, CT 06070-1980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain & Spine Specialists of Connecticut, LLC | Current | Accepting new patients | |
| Pain & Spine Specialists of Connecticut, LLC | Current | Accepting new patients |
Locations
67 Sand Pit Rd
Danbury, CT 06810
Phone (203) 792-2003
75 Kings Highway Cutoff
Ste 3A
Fairfield, CT 06824
Phone (203) 373-7330
75 Kings Highway Cutoff
Ste 100
Fairfield, CT 06824
11 South Rd
Ste 250
Farmington, CT 06032
Phone (860) 674-0222
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
Interoperability endpoints
- groussel@nspc.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.
-
- Interventional Pain Medicine Physician
- Danbury, CT
- NPI 1467588020
-
- Interventional Pain Medicine Physician
- Fairfield, CT
- NPI 1386256378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1194233841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-522-3711",
"fax_number": "860-493-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-522-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEL",
"first_name": "GAYLE",
"middle_name": "JEAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "7419",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "7419",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.