Individual provider Active NPI

Christie C Marcus, APRN

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1558901512
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8626 Issued in CT
Practice address
256 Seaside Ave
Milford, CT 06460-4602
Phone
(475) 882-6824
NPI assigned
Jan 8, 2020
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8626 CT Primary
Family Medicine Physician 207Q00000X 8626 CT

Addresses

Primary practice location

256 Seaside Ave
Milford, CT 06460-4602

Mailing address

256 Seaside Ave
Milford, CT 06460-4602

Other names 1

  • Christie C Aimable Former name

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
I20200226002654 CT Practitioner - Nurse Practitioner 6002243318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

120 W Main St
Plainville, CT 06062-1944
Phone (860) 747-0411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8626CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
Sanjay Aggarwal CurrentSince Aug 1, 2020 Accepting new patients
Village Square Internal Medicine PC Past Accepting new patients
The Charlotte Hungerford Hospital Family Past Accepting new patients

Locations

2 Elizabeth St
Bethel, CT 06801
Phone (203) 791-2221

1591 Boston Post Rd
Ste 100
Guilford, CT 06437
Phone (203) 453-9911

215 Sherman Ave
Hamden, CT 06518
Phone (203) 288-6800

340 Bantam Rd
Litchfield, CT 06759
Phone (860) 567-9493

1427 Chapel St
New Haven, CT 06511
Phone (203) 553-7951

164 Mount Pleasant Rd
Ste 202
Newtown, CT 06470
Phone (203) 270-1016

120 W Main St
Plainville, CT 06062
Phone (860) 205-1650

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: christie.marcus.npi1558901512.phpct@direct.optumcare.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1558901512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SEASIDE AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SEASIDE AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604602",
            "telephone_number": "475-882-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "CHRISTIE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8626",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "8626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "AIMABLE",
            "middle_name": "C",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.