Active NPI
Kevin Dinsmore, APRN
- Family Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12.006412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 90885 | CT | MD | Registered Nurse |
| 6412 | CT | MD | Massage Therapist |
| 12.006412 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TPTC-NH, LLC | Family | Current | Accepting new patients |
| Neighborhood Health, Inc. | Family | Current | Accepting new patients |
| Impact Health P.C. | Family | Current | Accepting new patients |
| Connecticut Regional Pain Specialists,LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/IIIJCD/Endpoint/IIIJCD
- 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.
-
dba Total Pain Treatment Centers of CT
- Family Nurse Practitioner
- New Haven, CT
- NPI 1265144935
-
- Interventional Pain Medicine Physician
- Hamden, CT
- NPI 1245472604
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.