Individual provider Active NPI

Michelle Louise Slavin, APRN

  • Family Nurse Practitioner
  • Southington, CT
National Provider Identifier
1619499274
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7093 Issued in CT
Practice address
462 Queen St Ste 303
Southington, CT 06489-1801
Phone
(860) 696-2240
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7093 CT Primary

Addresses

Primary practice location

462 Queen St Ste 303
Southington, CT 06489-1801

Mailing address

462 Queen St Ste 303
Southington, CT 06489-1801
Phone (860) 696-2240

Other practice location 1

Yale New Haven Hospital Diabetes Center
789 Howard Ave, Dana 2
New Haven, CT 06511
Phone (203) 785-7474

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
I20171011001416 CT Practitioner - Nurse Practitioner 1850666231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

462 Queen St
Southington, CT 06489-1801

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7093CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 1, 2023 Accepting new patients
Yale University CurrentSince Jul 1, 2021 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

789 Howard Ave
#2
North Haven, CT 06519
Phone (203) 688-2464

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

462 Queen St
Ste 303
Southington, CT 06489
Phone (860) 224-5672

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: michelle.slavin@xdr.hhchealthdirect.org
  • Direct secure messaging: mslavin320290@direct.ynhh.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1619499274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 QUEEN ST STE 303",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891801",
            "telephone_number": "860-696-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 QUEEN ST STE 303",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891801",
            "telephone_number": "860-696-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Yale New Haven Hospital Diabetes Center",
            "address_2": "789 Howard Ave, Dana 2",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06511",
            "country_code": "US",
            "telephone_number": "203-785-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVIN",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.