Individual provider Active NPI

Cameron L Maselli-Luth, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1538868245
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11130 Issued in CT
Practice address
140 Clark St
Milford, CT 06460-8427
Phone
(203) 693-4593
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11130 CT Primary

Addresses

Primary practice location

140 Clark St
Milford, CT 06460-8427

Mailing address

26 Rivendell Dr
Shelton, CT 06484-4332
Phone (203) 687-8510

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
I20230413000925 CT Practitioner - Nurse Practitioner 1557736154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11130CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Women'S Health, P.C. CurrentSince Mar 30, 2023 Accepting new patients
Northeast Medical Group, Inc. PastSince Mar 30, 2023 Accepting new patients

Locations

2150 Black Rock Tpke
Ste 201
Fairfield, CT 06825
Phone (203) 333-2060

140 Clark St
Milford, CT 06460
Phone (203) 877-1500

Interoperability endpoints

  • Direct secure messaging: cmaselliluth607746@direct.ynhh.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1538868245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RIVENDELL DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844332",
            "telephone_number": "203-687-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CLARK ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064608427",
            "telephone_number": "203-693-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASELLI-LUTH",
        "first_name": "CAMERON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.