Individual provider Active NPI

Laura Bracale, PMHCNS-BC,APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Trumbull, CT
National Provider Identifier
1194790725
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
002541 Issued in CT
Practice address
112 Quarry Rd Ste 160
Trumbull, CT 06611-4877
Phone
(203) 551-7350
Fax
(203) 371-0549
NPI assigned
Feb 17, 2006
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 002541 CT Primary

Addresses

Primary practice location

112 Quarry Rd Ste 160
Trumbull, CT 06611-4877

Mailing address

112 Quarry Rd Ste 160
Trumbull, CT 06611-4877
Phone (203) 551-7350

Other practice location 1

80 Seymour St
Emergency Department
Hartford, CT 06106-3315
Phone (860) 545-4178

Other practice location 2

20 York Street
Emergency Department -Psychiatry Emergency Services
New Haven, CT 06510
Phone (203) 688-1616

Other practice location 3

267 Grant Street
Psychiatry
Bridgeport, CT 06610
Phone (203) 384-3566

Other identifiers 4

IdentifierTypeStateIssuer
0354009OtherANCC- ADULT PSYCHIATRIC-MENTAL HEALTH CLINICAL NURSE SPECIALIST
E60587OtherCTREGISTERED NURSE LICENSE
00235918MedicaidCT
002541OtherCTAPRN LICENSE

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
I20160721000021 CT Practitioner - Nurse Practitioner 7416854914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 785-4638

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002541CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Dec 31, 2023 Accepting new patients
Yale University CurrentSince Jul 30, 2016 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Dec 31, 2023 Accepting new patients
Hartford Hospital CurrentSince May 1, 2016 Accepting new patients
Yale University CurrentSince Jul 30, 2016 Accepting new patients
Hartford Hospital CurrentSince May 1, 2016 Accepting new patients
Hartford Hospital CurrentSince May 1, 2016 Accepting new patients
Northeast Medical Group, PLLC Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

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

20 York St
North Haven, CT 06510
Phone (203) 688-2433

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

112 Quarry Rd
Ste 160
Trumbull, CT 06611
Phone (203) 551-7350

Interoperability endpoints

  • Direct secure messaging: lbracale63666@direct.ynhh.org

Organizations & group practices 8

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 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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1194790725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD STE 160",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114877",
            "telephone_number": "203-551-7350",
            "fax_number": "203-371-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD STE 160",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114877",
            "telephone_number": "203-551-7350",
            "fax_number": "203-371-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063315",
            "country_code": "US",
            "telephone_number": "860-545-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York Street",
            "address_2": "Emergency Department -Psychiatry Emergency Services",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06510",
            "country_code": "US",
            "telephone_number": "203-688-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Grant Street",
            "address_2": "Psychiatry",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "06610",
            "country_code": "US",
            "telephone_number": "203-384-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACALE",
        "first_name": "LAURA",
        "credential": "PMHCNS-BC,APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "002541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC- ADULT PSYCHIATRIC-MENTAL HEALTH CLINICAL NURSE SPECIALIST",
            "identifier": "0354009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "E60587",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00235918",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "002541",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.