Active NPI
Ashley Lynn Portal
- Family Nurse Practitioner
- Wethersfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12359
- Practice address
- 1025 Silas Deane Hwy
Wethersfield, CT 06109-4223 - Phone
- (860) 696-2400
- Fax
- (860) 696-2415
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12359 | CT | Primary |
Addresses
Primary practice location
1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Mailing address
1290 Silas Deane Hwy
HHC-Cvo
Wethersfield, CT 06109-4337
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
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Saybrook Rd
Middletown, CT 06457-4747
Phone (860) 636-2010
65 Memorial Rd
Suite 200
West Hartford, CT 06107-4215
Phone (860) 972-5107
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- Quality
- 83.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients |
Locations
256 N Main St
Manchester, CT 06042
Phone (860) 646-8595
420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
65 Memorial Rd
Ste 200
West Hartford, CT 06107
Phone (860) 231-1707
65 Memorial Rd
Ste 405
West Hartford, CT 06107
Phone (203) 678-1050
1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296
1260 Silas Deane Hwy
Ste 109
Wethersfield, CT 06109
Phone (860) 258-3477
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Organizations & group practices 5
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1205613650",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094223",
"telephone_number": "860-696-2400",
"fax_number": "860-696-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTAL",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-26",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "12359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.