Carol Brekus-Watson, CNM
Individual provider Active NPI Advanced Practice Midwife · Branford, CT
NPI 1477547404 · NPPES record last updated Jul 22, 2011
Key facts
- NPI
- 1477547404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 000008 (CT)
- Practice address
- 687 Main St
Branford, CT 06405-3612 - Phone
- (203) 488-8306
- Fax
- (203) 481-0267
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yale University
Practice addresses (Care Compare)
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131216000730 | CT | Practitioner - Certified Nurse Midwife (CNM) | 9537396767 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000008 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
Interoperability endpoints
- cbrekuswatson2610@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000008 | CT | Yes |
Addresses
Primary practice location
687 Main St
Branford, CT 06405-3612
Mailing address
77 Hickory LN
Madison, CT 06443-1718
Phone (203) 421-4153
Other providers in Branford, CT
- Branford Optometric Associates PC
- Branford Pediatrics & Allergy, P.C.
- Branford Public Schools
- Branford Rehab Center Inc
- Branhaven Medical Group LLC
- Joseph J Brennan Jr.
- Melissa J Brennan
- Zoe Brier
- Tara Victoria Brierley
- Kaela L Brizuela
All providers in Branford, CT · Advanced Practice Midwife in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2011. 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.