Individual provider Active NPI

Alaine F Zuwallack, APRN

  • Adult Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1487887378
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
004154 Issued in CT
Practice address
80 Seymour Street
Hartford Hospital Medicine Endocrinology Dept
Hartford, CT 06102-8000
Phone
(860) 972-2085
NPI assigned
Aug 26, 2009
Last updated
Jan 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4154 CT
Adult Health Nurse Practitioner 363LA2200X 004154 CT Primary

Addresses

Primary practice location

80 Seymour Street
Hartford Hospital Medicine Endocrinology Dept
Hartford, CT 06102-8000

Mailing address

80 Seymour Street
Hartford Hospital Medicine Endocrinology Dept
Hartford, CT 06102-8000
Phone (860) 972-2085

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
I20091001000685 CT Practitioner - Nurse Practitioner 8224174487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
004154CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Mar 1, 2021 Accepting new patients
Hartford Hospital CurrentSince Mar 1, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Joel M. Miller M.D. PC PastSince Oct 12, 2000 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Johnson Professional Associates, PC PastSince Jan 24, 2010 Accepting new patients
Saint Francis Behavioral Health Group, P.C. PastSince Apr 1, 2014 Accepting new patients
Starling Physicians PC Nurse Practitioner Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

100 Simsbury Rd
Ste 202
Avon, CT 06001
Phone (860) 242-6633

2 Northwestern Dr
Ste 300
Bloomfield, CT 06002
Phone (860) 242-6633

100 Retreat Ave
Hartford, CT 06106
Phone (860) 244-0148

100 Retreat Ave
Ste 400
Hartford, CT 06106
Phone (860) 547-1278

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

Interoperability endpoints

  • Direct secure messaging: alaine.zuwallack@xdr.hhchealthdirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1487887378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL MEDICINE ENDOCRINOLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL MEDICINE ENDOCRINOLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUWALLACK",
        "first_name": "ALAINE",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "4154",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.