Individual provider Active NPI

Gayle Jean Roussel, APRN

  • Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1194233841
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7419 Issued in CT
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

Updated by the provider on May 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509000303 CT Practitioner - Nurse Practitioner 1759645203 Reassigns benefits to 1 organization

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
Pain and Spine Specialists of Connecticut LLCGroup PAC ID 0143323063, 5 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

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

OrganizationSpecialtyStatusNew patients
Pain & Spine Specialists of Connecticut, LLC CurrentSince Feb 6, 2025 Accepting new patients
Pain & Spine Specialists of Connecticut, LLC CurrentSince Feb 6, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.