Individual provider Active NPI

Gabrielle Berthiaume, NP

  • Family Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1396354973
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.008995 Issued in CT
Practice address
520 Saybrook Rd Ste 210
Middletown, CT 06457-4740
Phone
(860) 358-2970
Fax
(860) 347-1630
NPI assigned
Jul 29, 2020
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.008995 CT Primary

Addresses

Primary practice location

520 Saybrook Rd Ste 210
Middletown, CT 06457-4740

Mailing address

28 Crescent St
Middletown, CT 06457-3650
Phone (860) 358-6000

Other practice location 1

540 Saybrook Rd Ste 100
Middletown, CT 06457-4760
Phone (860) 358-2850

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
I20200914000234 CT Practitioner - Nurse Practitioner 1658799382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

520 Saybrook Rd
Suite 210
Middletown, CT 06457-4700
Phone (860) 358-2970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8995CTMDClinical Social Worker
12.008995CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Family Current Accepting new patients
Starling Physicians, PLLC CurrentSince Sep 1, 2020 Accepting new patients
MHS Primary Care Inc. Family CurrentSince Jan 3, 2023 Accepting new patients
MHS Primary Care Inc CurrentSince Jan 3, 2023 Accepting new patients
Starling Physicians PLLC CurrentSince Sep 1, 2020 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

136 Berlin Rd
Cromwell, CT 06416
Phone (860) 378-8585

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262

520 Saybrook Rd
Ste 210
Middletown, CT 06457
Phone (860) 358-2970

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

Interoperability endpoints

  • Direct secure messaging: gberthiaume80087@middlesexhealthprd.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1396354973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573650",
            "telephone_number": "860-358-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SAYBROOK RD STE 210",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574740",
            "telephone_number": "860-358-2970",
            "fax_number": "860-347-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Saybrook Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064574760",
            "country_code": "US",
            "telephone_number": "860-358-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTHIAUME",
        "first_name": "GABRIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.008995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.