Individual provider Active NPI

Mary Ann Harmon, APRN

  • Nurse Practitioner
  • North Haven, CT
National Provider Identifier
1477044824
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7265 Issued in CT
Practice address
31 Broadway
North Haven, CT 06473-2304
Phone
(203) 234-7460
Fax
(203) 239-3047
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7265 CT Primary

Addresses

Primary practice location

31 Broadway
North Haven, CT 06473-2304

Mailing address

31 Broadway
North Haven, CT 06473-2304
Phone (203) 234-7460

Other practice location 1

46 Prince St Ste 601
New Haven, CT 06519-1634
Phone (203) 752-1726

Other practice location 2

954 Main St
Branford, CT 06405-3730
Phone (203) 481-0003

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
I20180621001289 CT Practitioner - Nurse Practitioner 8820343544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jun 4, 2020 Accepting new patients
Yale University Current Accepting new patients
Yale University CurrentSince Jun 4, 2020 Accepting new patients
Ear Nose & Throat Medical and Surgical Group, LLC Nurse Practitioner PastSince Jun 1, 2018 Accepting new patients

Locations

46 Prince St
Ste 601
New Haven, CT 06519
Phone (203) 752-1726

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBFCA
  • Direct secure messaging: mharmon101561@direct.ynhh.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1477044824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732304",
            "telephone_number": "203-234-7460",
            "fax_number": "203-239-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732304",
            "telephone_number": "203-234-7460",
            "fax_number": "203-239-3047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Prince St Ste 601",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191634",
            "country_code": "US",
            "telephone_number": "203-752-1726",
            "fax_number": "203-752-1838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "954 Main St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053730",
            "country_code": "US",
            "telephone_number": "203-481-0003",
            "fax_number": "203-483-6193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMON",
        "first_name": "MARY ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.