Nency Antoine, DNP, FNP
Individual provider Active NPI Family Nurse Practitioner · Bloomfield, CT
NPI 1457041097 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1457041097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 12655 (CT)
- Practice address
- 580 Cottage Grove Rd Ste 107
Bloomfield, CT 06002-3088 - Phone
- (860) 243-8709
- Fax
- (860) 243-8259
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Healthcare Medical Group Inc
Practice addresses (Care Compare)
100 Simsbury Rd
Suite 203
Avon, CT 06001-3793
Phone (860) 284-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130001381 | CT | Practitioner - Nurse Practitioner | 4587017207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.465400 | IL | MD | Registered Nurse |
| 12655 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Current |
Accepting new patients | |
| Swedishamerican Hospital | Past |
Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Past |
Accepting new patients |
Locations
100 Simsbury Rd
Ste 203
Avon, CT 06001
Phone (860) 284-5111
Interoperability endpoints
- nency.antoine.1@27673.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.465400 | IL | |
| Family Nurse Practitioner | 363LF0000X | 12655 | CT | Yes |
Addresses
Primary practice location
580 Cottage Grove Rd Ste 107
Bloomfield, CT 06002-3088
Mailing address
95 Woodland St FL 1
Hartford, CT 06105-1230
Phone (860) 714-7470
Other providers in Bloomfield, CT
- Manar Aljobori
- Kelly Ann Allen
- Robert James Amatruda
- Amavida Optimal Health LLC
- Maria Annal
- Apple Homecare Innovations LLC
- Arc Wellness LLC
- Arhin Internal Medicine Clinic LLC
- Akwasi Arhin
- Sequese Lacole Arline
All providers in Bloomfield, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.