Individual provider Active NPI

Melanie Anne Lentini, APRN

  • Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1356866826
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7112 Issued in CT
Practice address
455 Chase Pkwy
Waterbury, CT 06708-3352
Phone
(203) 573-1435
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7112 CT
Nurse Practitioner 363L00000X 7112 CT Primary

Addresses

Primary practice location

455 Chase Pkwy
Waterbury, CT 06708-3352

Mailing address

37 Perkins St
Bristol, CT 06010-2926
Phone (860) 977-5164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WV, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170906000528 CT Practitioner - Nurse Practitioner 5799058228 Reassigns benefits to 2 organizations
I20240913000004 WV Practitioner - Nurse Practitioner 5799058228 Reassigns benefits to 2 organizations
I20260618002197 MA Practitioner - Nurse Practitioner 5799058228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

424 Church St
Nashville, TN 37219-2301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7112CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Greater Waterbury LLC CurrentSince Aug 1, 2017 Accepting new patients
Matrix Medical Network of West Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

455 Chase Pkwy
Waterbury, CT 06708
Phone (203) 573-1435

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

209 Washington St W
Charleston, WV 25302
Phone 24852821166

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1356866826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PERKINS ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102926",
            "telephone_number": "860-977-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083352",
            "telephone_number": "203-573-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTINI",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7112",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.