Karen Ann Alicea

Key facts

NPI

1225545874

Entity type

Individual (NPI type 1)

Primary specialty

Primary Care Nurse Practitioner 363LP2300X

License

7355 (CT)

Practice address

267 Grant St
Bridgeport, CT 06610-2805

Phone

(203) 384-3000

NPI assigned

Jan 4, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Northeast Medical Group, Inc. Internal Medicine Physician · Bridgeport, CT · NPI 1043278351
  Medicare reassignment Care Compare group NPD CT

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridgeport Hospital General Acute Care Hospital · Bridgeport, CT · NPI 1649260845
  Care Compare affiliation Hospital
• Bridgeport Hospital General Acute Care Hospital · Bridgeport, CT · NPI 1992910152
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Medical Group Inc (1,357 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridgeport Hospital Hospital · Bridgeport, CT · CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100 (apm)

Quality

86.54

Promoting interoperability

99.98

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kalicea10867@direct.ynhh.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 4, 2018.

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1225545874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 DORIS DR",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682109",
            "telephone_number": "203-913-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "7355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bridgeport, CT · Primary Care Nurse Practitioner in Connecticut