MHS Primary Care Inc
Organization Active NPI Family Nurse Practitioner · Middletown, CT
NPI 1366968182 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1366968182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- MHS PRIMARY CARE INC
- Practice address
- 540 Saybrook Rd
Middletown, CT 06457-4711 - Phone
- (860) 358-2780
- Fax
- (860) 347-4691
- NPI assigned
- Aug 15, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- MHS PRIMARY CARE INC
Authorized official
- Name
- Susan Martin
- Title
- Vice President Finance
- Phone
- (860) 358-6140
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 16
Practitioners 183
-
Monika E. Kieltyka, FNP
-
Christopher J Yi, APRN
-
Nicole Dunn, APRN
-
Nicole Leigh Mills, DNP, FNP-C, APRN
-
Jude J Ade, PA
-
David Augenblick, MD
-
Elizabeth Barrera, APRN
-
Lisa Marie Bergeron, APRN
-
Howard P Boey, MD
-
Laura Bony, M.D.
-
Maureen Bracco, APRN
-
Craig Owen Brancato, PA-C
-
Daniela Calle, APRN
-
Jaime Andres Camacho, DMSC, PA-C
-
Dana Marie Cantiello, APRN, FNP-C
-
John M Carbone, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171214000461 | CT | Part B Supplier - Clinic/Group Practice | 4082507371 |
Receives reassigned benefits from 5 practitioners Practice locations: Middletown, CT |
National Provider Directory
- Tax ID family
- MHS Primary Care Inc
- Part of
- MHS Primary Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
540 Saybrook Rd
Middletown, CT 06457-4711
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Other names
- Middlesex Hospital Palliative Care Services
Other providers in Middletown, CT
- Naseema Merchant
- Karen Messier
- Jessica Meyer
- MHMP, LLC
- MHS Primary Care
- MHS Primary Care Inc
- MHS Primary Care Inc.
- MHS Primary Care Inc.
- MHS Primary Care, Inc
- Michael Brugg DMD
All providers in Middletown, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.