Individual provider Active NPI

Kevin Dinsmore, APRN

  • Family Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1447625785
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.006412 Issued in CT
Practice address
1423 Chapel St Ste 1a
New Haven, CT 06511-4411
Phone
(203) 624-4400
Fax
(203) 624-4402
NPI assigned
Dec 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 90885 CT
Family Nurse Practitioner 363LF0000X 12.006412 CT Primary

Addresses

Primary practice location

1423 Chapel St Ste 1a
New Haven, CT 06511-4411

Mailing address

1423 Chapel St Ste 1a
New Haven, CT 06511-4411
Phone (203) 624-4400

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
I20160401001499 CT Practitioner - Nurse Practitioner 8921305178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TPTC-NH LLCGroup PAC ID 8921479502, 5 clinicians

Practice addresses (Care Compare)

136 Sherman Ave
Lowr Level
New Haven, CT 06511-5209
Phone (203) 675-1199

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
90885CTMDRegistered Nurse
6412CTMDMassage Therapist
12.006412CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TPTC-NH, LLC Family CurrentSince Jan 4, 2025 Accepting new patients
Neighborhood Health, Inc. Family CurrentSince Jan 29, 2016 Accepting new patients
Impact Health P.C. Family CurrentSince Mar 19, 2020 Accepting new patients
Connecticut Regional Pain Specialists,LLC CurrentSince Sep 1, 2016 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2447 Whitney Ave
Ste 1
Hamden, CT 06518
Phone (203) 624-4400

62 Washington St
Ste 3
Middletown, CT 06457
Phone (203) 675-1199

136 Sherman Ave
Lowr
New Haven, CT 06511
Phone (203) 675-1199

1423 Chapel St
Ste 1A
New Haven, CT 06511
Phone (203) 624-4400

136 Sherman Ave
New Haven, CT 06511
Phone (203) 562-8071

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIIJCD/Endpoint/IIIJCD
  • Direct secure messaging: kdinsmore@ons.emadirect.md

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": "1449878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1447625785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CHAPEL ST STE 1A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114411",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHAPEL ST STE 1A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114411",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINSMORE",
        "first_name": "KEVIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-12",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "90885",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.006412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.