Active NPI
Selma Costa Rosa, FNP-BC
- Nurse Practitioner
- Newington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12.009476
- Practice address
- 117 Dowd St
Newington, CT 06111-2608 - Phone
- (860) 250-9017
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12.009476 | CT | Primary |
Addresses
Primary practice location
117 Dowd St
Newington, CT 06111-2608
Mailing address
117 Dowd St
Newington, CT 06111-2608
Phone (860) 250-9017
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)
30 Park Lane E
New Milford, CT 06776-2510
Phone (718) 298-4375
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.14 of 100
- Quality
- 71.85
- Improvement activities
- 40
- Cost
- 75.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12.009476 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Current | Accepting new patients | |
| Meaningful Medical PC | Current | Accepting new patients | |
| Vivid Aesthetics & Wellness PLLC | Current | Accepting new patients | |
| Quality Visiting Nurses LLC | Past | Accepting new patients |
Locations
110 Court St
Ste 2B
Cromwell, CT 06416
Phone (860) 740-2016
30 Park Ln E
New Milford, CT 06776
Phone (860) 355-0971
470 Straits Tpke
Watertown, CT 06795
Phone (860) 945-1139
595 Valley St
Willimantic, CT 06226
Phone (860) 450-7060
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Family Medicine Physician
- Cromwell, CT
- NPI 1861260671
-
- Internal Medicine Physician
- Willimantic, CT
- NPI 1821801788
-
- Home Health Agency
- Watertown, CT
- NPI 1285889089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1457930158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 DOWD ST",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112608",
"telephone_number": "860-250-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 DOWD ST",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112608",
"telephone_number": "860-250-9017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "SELMA",
"middle_name": "COSTA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "12.009476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.