Individual provider Active NPI

Michele Lynn Colwell, PA

  • Physician Assistant
  • Waterbury, CT
National Provider Identifier
1518071406
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
455 Chase Pkwy
Waterbury, CT 06708-3352
Phone
(203) 573-1435
Fax
(203) 755-7433
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

455 Chase Pkwy
Waterbury, CT 06708-3352

Mailing address

455 Chase Pkwy
Waterbury, CT 06708-3352
Phone (203) 573-1435

Other names 1

  • Michele Lynn Frascatore Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcolwell233704@direct.stfranciscare.org Direct

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
I20040202001015 CT Practitioner - Physician Assistant 8426941725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Asylum Ave
Hartford, CT 06105-1702

114 Woodland St
Hartford, CT 06105-1208

133 Scovill St
Waterbury, CT 06706-1127

476 Cromwell Ave
Rocky Hill, CT 06067-1806
Phone (860) 714-4548

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001273CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 1, 2021 Accepting new patients
Thomas P. Greco M D P C Past Accepting new patients

Locations

27 Sycamore St
Ste 300
Glastonbury, CT 06033
Phone (860) 627-0224

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

1000 Asylum Ave
Ste 2108
Hartford, CT 06105
Phone (860) 714-6124

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

1000 Asylum Ave
Ste 3206
Hartford, CT 06105
Phone (860) 633-0500

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

1320 W Main St
Waterbury, CT 06708
Phone (203) 709-7300

133 Scovill St
Ste 306307
Waterbury, CT 06706
Phone (203) 597-3667

Interoperability endpoints

  • Direct secure messaging: mcolwell2388549@direct.trinity-health.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1518071406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083352",
            "telephone_number": "203-573-1435",
            "fax_number": "203-755-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083352",
            "telephone_number": "203-573-1435",
            "fax_number": "203-755-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcolwell233704@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1000 Asylum Ave Ste 3206",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "FRASCATORE",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.