Individual provider Active NPI

Kelly Heilman, APRN

  • Adult Health Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1316497662
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
6739 Issued in CT
Practice address
131 New London Tpke Ste 101
Glastonbury, CT 06033-2246
Phone
(860) 659-8904
Fax
(860) 246-5828
NPI assigned
Oct 11, 2016
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 6739 CT Primary

Addresses

Primary practice location

131 New London Tpke Ste 101
Glastonbury, CT 06033-2246

Mailing address

131 New London Tpke Ste 101
Glastonbury, CT 06033-2246
Phone (860) 659-8904

Other practice location 1

351 Merline Rd Ste 103
Vernon, CT 06066-4042
Phone (860) 875-7660

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
I20161123001491 CT Practitioner - Nurse Practitioner 4789963281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates of Hartford, PCGroup PAC ID 0648173500, 6 clinicians

Practice addresses (Care Compare)

1064 E Main St
Suite 101
Meriden, CT 06450-4898
Phone (203) 440-9190

351 Merline Rd
Suite 103
Vernon, CT 06066-4042
Phone (860) 875-7660

622 Hebron Ave
Suite 104B
Glastonbury, CT 06033-5003
Phone (860) 659-8904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6739CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates of Hartford, PC Allergy CurrentSince Mar 27, 2019 Accepting new patients
Prospect Manchester Hospital, Inc. Past Accepting new patients

Locations

131 New London Tpke
Glastonbury, CT 06033
Phone (800) 984-2020

131 New London Tpke
Ste 101
Glastonbury, CT 06033
Phone (860) 659-8904

622 Hebron Ave
Ste 104B
Glastonbury, CT 06033
Phone (860) 652-3181

21 Woodland St
Ste 210
Hartford, CT 06105
Phone (860) 246-7273

1064 E Main St
Ste 101
Meriden, CT 06450
Phone (203) 440-9190

351 Merline Rd
Ste 103
Vernon, CT 06066
Phone (860) 870-4100

Interoperability endpoints

  • Direct secure messaging: heilman.kelly.021.0090427@avh.meditab.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1316497662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-659-8904",
            "fax_number": "860-246-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-659-8904",
            "fax_number": "860-246-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Merline Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060664042",
            "country_code": "US",
            "telephone_number": "860-875-7660",
            "fax_number": "860-246-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "6739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.