Individual provider Active NPI

Nanette Alexander, APRN

  • Adult Health Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1568449262
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
001177 Issued in CT
Practice address
27 Sycamore St
Ste 100, Prime Healthcare
Glastonbury, CT 06033-2223
Phone
(860) 659-0581
Fax
(860) 652-3077
NPI assigned
Dec 23, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 001177 CT Primary

Addresses

Primary practice location

27 Sycamore St
Ste 100, Prime Healthcare
Glastonbury, CT 06033-2223

Mailing address

30 Jordan LN
Prime Healthcare
Wethersfield, CT 06109-1278
Phone (860) 263-0253

Other identifiers 2

IdentifierTypeStateIssuer
001177OtherCTMEDICAL LICENSE
004185030MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nalexander19524@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
I20091202000466 CT Practitioner - Nurse Practitioner 2062551120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

27 Sycamore St
Suite 100
Glastonbury, CT 06033-7208
Phone (860) 659-0581

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001177CTMDClinical Social Worker
1177CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Adult Health CurrentSince Jun 15, 1998 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Jun 15, 1998 Accepting new patients

Locations

27 Sycamore St
Ste 100
Glastonbury, CT 06033
Phone (860) 659-0581

20 Isham Rd
Ste 100
West Hartford, CT 06107
Phone (860) 247-2530

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: nanette.alexander.1@31712.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568449262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LN",
            "address_2": "PRIME HEALTHCARE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SYCAMORE ST",
            "address_2": "STE 100, PRIME HEALTHCARE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332223",
            "telephone_number": "860-659-0581",
            "fax_number": "860-652-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "NANETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "001177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "001177",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004185030",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nalexander19524@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "27 Sycamore St",
            "address_2": "Ste 100, Prime Healthcare",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060332223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.