Individual provider Active NPI

Marianne Therese Cosentino, APRN

  • Adult Health Nurse Practitioner
  • Oxford, CT
National Provider Identifier
1376700609
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4241 Issued in CT
Practice address
220 Main St Ste 1a
Oxford, CT 06478-1065
Phone
(203) 888-5527
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X 4241 CT
Adult Health Clinical Nurse Specialist 364SA2200X 209.004942 IL
Adult Health Nurse Practitioner 363LA2200X 4241 CT Primary

Addresses

Primary practice location

220 Main St Ste 1a
Oxford, CT 06478-1065

Mailing address

67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-1256

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
I20100106000167 CT Practitioner - Certified Clinical Nurse Specialist (CNS) 1456423532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.004942ILMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Faculty Physicians, Inc. Adult Health CurrentSince Jan 10, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Jul 1, 2017 Accepting new patients

Locations

130 Division St
Fl 1
Derby, CT 06418
Phone (203) 732-1257

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

130 Division St
Derby, CT 06418
Phone (203) 732-1330

5 Durham Rd
Ste C2
Guilford, CT 06437
Phone (203) 488-4334

9 Washington Ave
Ste 3A
Hamden, CT 06518
Phone (475) 227-3614

220 Main St
Ste 1A
Oxford, CT 06478
Phone (203) 888-5527

2 Ivy Brook Rd
Ste 120
Shelton, CT 06484
Phone (203) 513-2642

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

863 N Main Street Ext
Wallingford, CT 06492

863 N Main Street Ext
Ste 101
Wallingford, CT 06492
Phone (203) 269-3791

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1376700609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAPLE AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181328",
            "telephone_number": "203-732-1256",
            "fax_number": "203-732-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST STE 1A",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781065",
            "telephone_number": "203-888-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSENTINO",
        "first_name": "MARIANNE",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "CT",
            "license": "4241",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209.004942",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "4241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, CT

Sources for this page

Verify at the official NPI Registry.