NPIMap

Individual provider Active NPI

Annette K Macannuco-Winslow, M.D.

  • Interventional Pain Medicine Physician
  • Wallingford, CT
National Provider Identifier
1356376222
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
037203 Issued in CT
Practice address
50 Gaylord Farm Rd
Wallingford, CT 06492-2899
Phone
(203) 284-2800
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 037203 CT Primary

Addresses

Primary practice location

50 Gaylord Farm Rd
Wallingford, CT 06492-2899

Mailing address

PO Box 400
Wallingford, CT 06492-7048
Phone (203) 284-2800

Other names 1

  • Annette K Macannuco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000170 CT Practitioner - Interventional Pain Management 1153594510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaylord Hospital, Inc.Group PAC ID 1153224191, 39 clinicians
Spine and Pain Institute at Midstate LLCGroup PAC ID 8022279991, 3 clinicians

Practice addresses (Care Compare)

28 Durham Rd
Suite 1
Madison, CT 06443-2699
Phone (203) 284-2800

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8414

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 284-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.68 of 100Reported as group
Quality
95.05
Improvement activities
0
Cost
77.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Pain Institute at Midstate LLC Interventional Pain Medicine CurrentSince Jan 16, 2012 Accepting new patients
Jonathan a Kost, MD LLC Interventional Pain Medicine CurrentSince Oct 1, 1998 Accepting new patients
Gaylord Hospital, Inc. Interventional Pain Medicine CurrentSince Sep 29, 2025 Accepting new patients
Jonathan Kost MD LLC Interventional Pain Medicine Past Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

65 Memorial Rd
Ste 435
West Hartford, CT 06107
Phone (860) 696-2840

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.

Hospital & facility affiliations 9

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1356376222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064927048",
            "telephone_number": "203-284-2800",
            "fax_number": "203-294-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GAYLORD FARM RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922899",
            "telephone_number": "203-284-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACANNUCO-WINSLOW",
        "first_name": "ANNETTE",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "037203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "MACANNUCO",
            "middle_name": "K",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.