Donna Marie Avanecean, APRN
Individual provider Active NPI Family Nurse Practitioner · Hartford, CT
NPI 1255428348 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1255428348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 003458 (CT)
- Practice address
- 80 Seymour St
Hartford, CT 06102-8000 - Phone
- (860) 545-3621
- NPI assigned
- Oct 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Hospital
Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306
Hospital & facility affiliations
- Hartford Hospital
- Manchester Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070310000040 | CT | Practitioner - Nurse Practitioner | 9335189372 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003458 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current |
Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients |
Locations
100 Hazard Ave
Ste 101
Enfield, CT 06082
Phone (860) 696-2240
85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029
85 Seymour St
Ste 227
Hartford, CT 06106
Phone (860) 545-1888
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- donna.avanecean@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 003458 | CT | Yes |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-3621
Other providers in Hartford, CT
- Gina Marie Austin
- Richard Austin Jr.
- Samuel Eric Austin
- Anna E Avakian
- Avalon Psychological Group, P.C.
- Avantgarde Caring Hearts and Hands LLC
- Ricardo R Avendano Avelar
- Heather Avery
- Jose Angel Avila Jr.
- Jessica Aviles
All providers in Hartford, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.