Carrie Ann Mi Costa, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

459 Issued in CT

Practice address

60 Westwood Ave Ste 100
Waterbury, CT 06708-2460

Phone

(203) 578-4609

NPI assigned

Sep 9, 2019

Last updated

Jun 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carrie.ann.costa.1@10170.direct.athenahealth.com
• Direct secure messaging: ccosta1380208@direct.bsmhealth.org

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.

• Physicians for Women's Health LLC

  • Obstetrics & Gynecology Physician
  • Rocky Hill, CT
  • NPI 1801826680

  Advanced Practice Midwife

  Medicare reassignment Care Compare group NPD
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment Care Compare group NPD
• Yale University

  dba Yale Medicine

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1538718952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LITCHFIELD TPKE",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243517",
            "telephone_number": "203-901-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD AVE STE 100",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082460",
            "telephone_number": "203-578-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Litchfield Tpke",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "CT",
            "postal_code": "065243517",
            "country_code": "US",
            "telephone_number": "203-901-3695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "CARRIE ANN",
        "middle_name": "MI",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM LICENSE",
            "identifier": "459",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris Correa
• Eileen Correia-Depaola, L.M.T
• Ashley Corso, RDH
• Christie Cortellino
• Philip R. Corvo, M.D.
• Costco Wholesale Corporation (Costco Hearing Aid #313)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #313)
• Elizabeth Felicia Cotter, MS, LPC,NCC
• Counseling Center of Waterbury

• Advanced Practice Midwife in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Advanced Practice Midwife in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; 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.

Verify at the official NPI Registry.