Individual provider Active NPI

Allison Vanasse

  • Medical Physician Assistant
  • Enfield, CT
National Provider Identifier
1427708940
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6019 Issued in CT
Practice address
54 Hazard Ave Ste 135
Enfield, CT 06082-3885
Phone
(860) 787-5780
NPI assigned
Mar 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6019 CT Primary

Addresses

Primary practice location

54 Hazard Ave Ste 135
Enfield, CT 06082-3885

Mailing address

1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337

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
I20230315001192 CT Practitioner - Physician Assistant 6002280062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Phone (860) 696-2400

1445 New Britain Ave
West Hartford, CT 06110-1659
Phone (860) 317-9787

175 Webster Square Rd
Berlin, CT 06037-2328
Phone (860) 200-8095

240 Spencer St
Manchester, CT 06040-4618
Phone (860) 474-3963

336 N Main St
West Hartford, CT 06117-2675
Phone (860) 200-7701

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 787-5774

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

40 Fenn Rd
Newington, CT 06111-2212
Phone (860) 777-1283

54 Hazard Ave
Enfield, CT 06082-3845
Phone (860) 787-5780

7 Mill Pond Dr
Suite a
Granby, CT 06035-2637
Phone (860) 323-3164

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1427708940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HARTFORD HEALTHCARE-CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HAZARD AVE STE 135",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823885",
            "telephone_number": "860-787-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANASSE",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.