Active NPI
Gabrielle Berthiaume, NP
- Family Nurse Practitioner
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12.008995
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8995 | CT | MD | Clinical Social Worker |
| 12.008995 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHS Primary Care, Inc | Family | Current | Accepting new patients |
| Starling Physicians, PLLC | Current | Accepting new patients | |
| MHS Primary Care Inc. | Family | Current | Accepting new patients |
| MHS Primary Care Inc | Current | Accepting new patients | |
| Starling Physicians PLLC | Current | 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
- 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.
-
- Family Medicine Physician
- Middletown, CT
- NPI 1336279058
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
dba Middlesex Health Concierge Medicine
- Internal Medicine Physician
- Essex, CT
- NPI 1750276655
-
dba Middlesex Hospital Surgical Alliance
- Surgery Physician
- Middletown, CT
- NPI 1740666312
Family
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
dba Starling Physicians PC
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.