Individual provider Active NPI

Charlotte L Cusano

  • Advanced Practice Midwife
  • New Haven, CT
National Provider Identifier
1275044539
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
424 Issued in CT
Practice address
46 Prince St Ste 207
New Haven, CT 06519-1600
Phone
(203) 787-2264
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 7281 CT
Advanced Practice Midwife 367A00000X 424 CT Primary

Addresses

Primary practice location

46 Prince St Ste 207
New Haven, CT 06519-1600

Mailing address

15 Mikeys Way
North Haven, CT 06473-3594

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228001096 CT Practitioner - Certified Nurse Midwife (CNM) 6608134408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

60 Washington Ave
201 Comprehensive Gynecology of CT
Hamden, CT 06518-3273
Phone (203) 230-2939

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
7281CTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Oct 18, 2017 Accepting new patients
Yale University CurrentSince Oct 18, 2017 Accepting new patients
Physicians for Women's Health LLC Women's Health CurrentSince Sep 1, 2025 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

60 Washington Ave
Ste 201
Hamden, CT 06518
Phone (203) 230-2939

60 Washington Ave
Ste 101
Hamden, CT 06518

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

46 Prince St
Ste 207
New Haven, CT 06519
Phone (203) 787-2264

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: charlotte.cusano.1@10170.direct.athenahealth.com
  • Direct secure messaging: ccusano74089@direct.ynhh.org

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.

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1275044539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MIKEYS WAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 207",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-787-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSANO",
        "first_name": "CHARLOTTE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "7281",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.