Individual provider Active NPI

Caroline Jane Coffee, APRN

  • Gerontology Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1336488675
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9762 Issued in CT
Practice address
33 Dixwell Ave Ste 312
New Haven, CT 06511-3403
Phone
(949) 433-0781
Fax
(901) 425-9677
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008151 CT
Gerontology Nurse Practitioner 363LG0600X 9762 CT Primary

Addresses

Primary practice location

33 Dixwell Ave Ste 312
New Haven, CT 06511-3403

Mailing address

33 Dixwell Ave Ste 312
New Haven, CT 06511-3403
Phone (949) 433-0781

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
I20210712001973 CT Practitioner - Nurse Practitioner 2961804000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quotidian Health LLCGroup PAC ID 6901105451, 16 clinicians

Practice addresses (Care Compare)

139 Toddy Hill Rd
Sandy Hook, CT 06482-1362
Phone (607) 303-9318

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008151CTMDClinical Social Worker
9762CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Clinical CurrentSince Aug 2, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Aug 2, 2021 Accepting new patients
Quotidian Health LLC CurrentSince Sep 17, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 6, 2024 Accepting new patients

Locations

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

33 Dixwell Ave
New Haven, CT 06511
Phone (800) 805-0759

20 York St
North Haven, CT 06510
Phone (203) 688-2433

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

139 Toddy Hill Rd
Sandy Hook, CT 06482
Phone (203) 364-3110

27 Hospital Hill Rd
Sharon, CT 06069
Phone (607) 303-9318

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

950 Campbell Ave
#122
West Haven, CT 06516

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: ccoffee398872@direct.ynhh.org

Organizations & group practices 4

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": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1336488675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DIXWELL AVE STE 312",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113403",
            "telephone_number": "949-433-0781",
            "fax_number": "901-425-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DIXWELL AVE STE 312",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113403",
            "telephone_number": "949-433-0781",
            "fax_number": "901-425-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEE",
        "first_name": "CAROLINE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008151",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "9762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.