Individual provider Active NPI

Giustina Schiano Polvani

  • Nurse Practitioner
  • Meriden, CT
National Provider Identifier
1194526897
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14779 Issued in CT
Practice address
61 Pomeroy Ave
Meriden, CT 06450-7482
Phone
(203) 694-5393
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 143336 CT
Nurse Practitioner 363L00000X 14779 CT Primary
Wound Care Registered Nurse 163WW0000X 143336 CT

Addresses

Primary practice location

61 Pomeroy Ave
Meriden, CT 06450-7482

Mailing address

1290 Silas Deane Hwy
HHC Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-5507

Other practice location 1

5 Highland St
New Britain, CT 06052-2013
Phone (860) 224-5390

Other practice location 2

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8191

Other practice location 3

190 Universal Dr N
North Haven, CT 06473-3156
Phone (203) 234-5969

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
I20260514002088 CT Practitioner - Nurse Practitioner 7911476478 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Wound Care LLCGroup PAC ID 8729445580, 8 clinicians

Practice addresses (Care Compare)

67 Masonic Ave
Suite 2400
Wallingford, CT 06492-3099
Phone (203) 408-2462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143336CTMDWound Care Registered Nurse
14779CTMDNurse Practitioner

Organizations & group practices 4

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": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1194526897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-5507",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 POMEROY AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507482",
            "telephone_number": "203-694-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Highland St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522013",
            "country_code": "US",
            "telephone_number": "860-224-5390",
            "fax_number": "860-224-5841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064512101",
            "country_code": "US",
            "telephone_number": "203-694-8191",
            "fax_number": "203-694-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Universal Dr N",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064733156",
            "country_code": "US",
            "telephone_number": "203-234-5969",
            "fax_number": "203-239-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLVANI",
        "first_name": "GIUSTINA",
        "middle_name": "SCHIANO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "143336",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "14779",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CT",
            "license": "143336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.