Rachael Marguerite Carlucci, MSN,APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Guilford, CT
NPI 1609447135 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1609447135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9277 (CT)
- Practice address
- 1057 Boston Post Rd
Guilford, CT 06437-2644 - Phone
- (866) 389-2727
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MC Diagnostic of Connecticut, P.C.
Practice addresses (Care Compare)
1057 Boston Post Rd
Guilford, CT 06437-2644
Phone (866) 389-2727
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 |
|---|---|---|---|---|
| I20210908003198 | CT | Practitioner - Nurse Practitioner | 3577969047 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care Connecticut PLLC | Family | Current |
Accepting new patients |
| MC Diagnostic of Connecticut, P.C. | Family | Current |
Accepting new patients |
| Connecticut CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Locations
3514 Main St
Coventry, CT 06238
Phone (860) 298-5925
1057 Boston Post Rd
Guilford, CT 06437
Phone (203) 458-1444
1057 Boston Post Rd
Ste 2
Guilford, CT 06437
Phone (203) 458-1444
519 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-1045
323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9277 | CT | Yes |
Addresses
Primary practice location
1057 Boston Post Rd
Guilford, CT 06437-2644
Mailing address
305B E Main St
Clinton, CT 06413-2222
Phone (860) 581-3290
Other providers in Guilford, CT
- Alyssa Caldarella
- Calico Counseling LLC
- Mary Mazor Callis
- David S. Caminear
- Maria Cardona
- Miruna Carnaru
- Elizabeth Carozza
- Michael Carrano
- Jon Paul Cartier
- Rachel Marie Cataudella
All providers in Guilford, CT · Family 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 Jul 6, 2021. 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.