Marquita Stevenson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10211 Issued in CT

Practice address

2045 Dixwell Ave
Hamden, CT 06514-2405

Phone

(203) 287-0835

NPI assigned

Nov 5, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.34 of 100Reported as group

Quality

82.53

Improvement activities

40

Cost

86.49

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as group

Quality

93.23

Improvement activities

40

Cost

61.49

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Health Care Management,LLC

  • Adult Health Nurse Practitioner
  • Milford, CT
  • NPI 1811641145

  Family

  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1598420309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SMITH ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164516",
            "telephone_number": "203-521-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142405",
            "telephone_number": "203-287-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "MARQUITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrine Sterling
• Steven G Simon LCSW LLC
• Steven J. Blander MD ,LLC
• Tia L Stevens
• Leonard Stevenson
• Jania Stewart-James, LMSW
• Douglas A Stitz, PA
• Michelle Stoehr, ATC
• Dhimitri Stojko
• Stop and Shop Supermarket Co LLC (Stop and Shop Pharmacy #600)

• Family Nurse Practitioner in Hamden, CT
• Providers in Hamden, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.