Individual provider Active NPI

Ana Rodriguez-Musterer, PA

  • Medical Physician Assistant
  • Guilford, CT
National Provider Identifier
1568506848
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000355 Issued in CT
Practice address
385 Church St
Suite 101
Guilford, CT 06437-2003
Phone
(203) 453-0361
Fax
(203) 453-8510
NPI assigned
Feb 19, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 000355 CT Primary

Addresses

Primary practice location

385 Church St
Suite 101
Guilford, CT 06437-2003

Mailing address

385 Church St
Guilford, CT 06437-2003
Phone (203) 453-0361

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
I20071117000050 CT Practitioner - Physician Assistant 9032207568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

226 Mill Hill Ave
Suite 3
Bridgeport, CT 06610-2826
Phone (203) 384-3976

385 Church St
Guilford, CT 06437-6003
Phone (203) 453-0361

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000355CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jan 5, 2019 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 5, 2019 Accepting new patients
Connecticut Medical Group, LLC Past Accepting new patients

Locations

385 Church St
Guilford, CT 06437
Phone (203) 453-0361

385 Church St
Ste 101
Guilford, CT 06437
Phone (203) 453-0361

2416 Whitney Ave
Hamden, CT 06518
Phone (203) 248-4331

9 Washington Ave
Fl 2
Hamden, CT 06518
Phone (860) 704-9153

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: arodriguezmusterer187801@direct.ynhh.org
  • Direct secure messaging: arodriguezmusterer2388151@direct.trinity-health.org

Organizations & group practices 3

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 4

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568506848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CHURCH ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372003",
            "telephone_number": "203-453-0361",
            "fax_number": "203-453-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CHURCH ST",
            "address_2": "SUITE 101",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372003",
            "telephone_number": "203-453-0361",
            "fax_number": "203-453-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-MUSTERER",
        "first_name": "ANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.