Individual provider Active NPI

Nancy Mayeda-Brescia, APRN

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1215952015
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
E56862 Issued in CT
Practice address
333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377
Phone
(612) 659-7111
Fax
(612) 659-7101
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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 E56862 CT Primary

Addresses

Primary practice location

333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377

Mailing address

137 Boulder Dr
Rocky Hill, CT 06067-4239
Phone (860) 221-5837

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
I20080416000005 CT Practitioner - Nurse Practitioner 0143308221 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E56862CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 6, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 6, 2018 Accepting new patients
Grow Healthcare Group PA CurrentSince Feb 28, 2025 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

131 Coventry St
Hartford, CT 06112
Phone (860) 714-2813

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: nancy.mayeda-brescia.1@18393.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18393/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1215952015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BOULDER DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060674239",
            "telephone_number": "860-221-5837",
            "fax_number": "860-563-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N",
            "address_2": "SUITE 5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011377",
            "telephone_number": "612-659-7111",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEDA-BRESCIA",
        "first_name": "NANCY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "E56862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.