Merdella Dora Bartley, AGNP-C

Key facts

NPI: 1548026529
Entity type: Individual (NPI type 1)
Primary specialty: Gerontology Nurse Practitioner 363LG0600X
License: 12912 (CT)
Practice address: 340 Broad St Ste 100
Windsor, CT 06095-3030
Phone: (860) 580-7170
NPI assigned: Feb 26, 2024
Sex: Female
Sole proprietor: No

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.

Careteam Health LLC Nurse Practitioner · New Britain, CT · NPI 1679207757

Medicare reassignment Care Compare group NPD CT
Careconnectmd Connecticut PC Geriatric Medicine (Internal Medicine) Physician · Stamford, CT · NPI 1467187336

Medicare reassignment NPD CT

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Careteam Health LLC (6 clinicians)

Practice addresses (Care Compare)

230 Pleasant St
New Britain, CT 06051-2828

230 Pleasant St FL
Suite 3
New Britain, CT 06051-2828

340 Broad St
Suite 100
Windsor, CT 06095-3030
Phone (860) 483-8836

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240430000727	CT	Practitioner - Nurse Practitioner	1658711213	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
12912	CT	MD	Gerontology Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Careconnectmd Connecticut PC		Current since Apr 30, 2024	Accepting new patients
Careteam Health LLC		Current since May 1, 2024	Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

340 Broad St
Ste 100
Windsor, CT 06095
Phone (860) 483-8836

340 Broad St
Windsor, CT 06095
Phone (860) 483-8836

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Nurse Practitioner	363LP2300X	12912	CT
Gerontology Nurse Practitioner	363LG0600X	12912	CT	Yes

Addresses

Primary practice location

340 Broad St Ste 100
Windsor, CT 06095-3030

Mailing address

111 Sparrowbush Rd
East Hartford, CT 06108-1215
Phone (347) 806-8824

Other providers in Windsor, CT

All providers in Windsor, CT · Gerontology Nurse Practitioner in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. 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.

Verify at the official NPI Registry.