Individual provider Active NPI

Rosanna Maria Mendoza, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Milford, CT
National Provider Identifier
1295200020
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
363LA2100X Issued in CT
Practice address
2068 Bridgeport Ave
Milford, CT 06460-4634
Phone
(203) 701-6787
Fax
(203) 693-2955
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 363LA2100X CT Primary

Addresses

Primary practice location

2068 Bridgeport Ave
Milford, CT 06460-4634

Mailing address

2068 Bridgeport Ave
Milford, CT 06460-4634
Phone (203) 701-6787

Other names 1

  • Rosanna Maria M Mendite Former name

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
I20181217001582 CT Practitioner - Nurse Practitioner 8224373436 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
363LA2100XCTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Oct 25, 2018 Accepting new patients
Hartford Hospital CurrentSince Oct 25, 2018 Accepting new patients
Connecticut Coastal Metabolism, LLC CurrentSince Jun 11, 2020 Accepting new patients

Locations

2068 Bridgeport Ave
Milford, CT 06460
Phone (203) 701-6787

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1295200020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604634",
            "telephone_number": "203-701-6787",
            "fax_number": "203-693-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604634",
            "telephone_number": "203-701-6787",
            "fax_number": "203-693-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ROSANNA",
        "middle_name": "MARIA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "363LA2100X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSANNA",
            "last_name": "MENDITE",
            "middle_name": "MARIA M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.