Individual provider Active NPI

Ashley Lynn Portal

  • Family Nurse Practitioner
  • Wethersfield, CT
National Provider Identifier
1205613650
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12359 Issued in CT
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006000226 CT Practitioner - Nurse Practitioner 2163877481 Reassigns benefits to 3 organizations

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
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

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 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Oct 1, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2024 Accepting new patients
Hartford Hospital CurrentSince Feb 22, 2025 Accepting new patients
Hartford Hospital CurrentSince Feb 22, 2025 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.