Individual provider Active NPI

Tracey Urso, APRN-BC

  • Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1356772107
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
005399 Issued in CT
Practice address
1 Abrahms Blvd
West Hartford, CT 06117-1508
Phone
(860) 523-3800
Fax
(860) 523-3949
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 005399 CT Primary
Acute Care Nurse Practitioner 363LA2100X 005399 CT
Registered Nurse 163W00000X 095127 CT

Addresses

Primary practice location

1 Abrahms Blvd
West Hartford, CT 06117-1508

Mailing address

56 Lovely St
Avon, CT 06001-3138
Phone (860) 673-6803

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
I20140307000382 CT Practitioner - Nurse Practitioner 8224268446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Home and Hospital IncGroup PAC ID 1759279961, 7 clinicians

Practice addresses (Care Compare)

1 Abrahms Blvd
West Hartford, CT 06117-1508
Phone (860) 218-2300

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095127CTMDRegistered Nurse
005399CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Home and Hospital, Inc CurrentSince Dec 24, 2013 Accepting new patients
Hebrew Home and Hospital Inc CurrentSince Dec 24, 2013 Accepting new patients
Impact Health P.C. Nurse Practitioner CurrentSince Mar 13, 2019 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

1 Abrahms Blvd
West Hartford, CT 06117
Phone (860) 218-2300

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 7

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1356772107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LOVELY ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013138",
            "telephone_number": "860-673-6803",
            "fax_number": "860-255-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ABRAHMS BLVD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171508",
            "telephone_number": "860-523-3800",
            "fax_number": "860-523-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSO",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "005399",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "005399",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "095127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.