Individual provider Active NPI

Chelsea Alves Carter, APRN

  • Women's Health Nurse Practitioner
  • East Hartford, CT
National Provider Identifier
1619580263
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
12.009146 Issued in CT
Practice address
111 Connecticut Blvd
East Hartford, CT 06108-3015
Phone
(860) 761-1234
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12.009146 CT
Family Nurse Practitioner 363LF0000X 9146 CT
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 9146 CT
Women's Health Nurse Practitioner 363LW0102X 12.009146 CT Primary

Addresses

Primary practice location

111 Connecticut Blvd
East Hartford, CT 06108-3015

Mailing address

473 Congdon St
Middletown, CT 06457-2065

Other practice location 1

40 Temple St Ste 7A
New Haven, CT 06510-2715
Phone (203) 789-2011

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
I20220517002443 CT Practitioner - Nurse Practitioner 9537546346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

40 Temple St
Suite 7a
New Haven, CT 06510-2715
Phone (203) 789-2011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9146CTMDGeneral Practice Dentistry
12.009146CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Apr 25, 2022 Accepting new patients
Connecticut OB-GYN,LLC CurrentSince Jan 1, 2024 Accepting new patients
Yale University CurrentSince Apr 25, 2022 Accepting new patients

Locations

111 Connecticut Blvd
East Hartford, CT 06108
Phone (860) 761-1234

40 Temple St
Ste 7A
New Haven, CT 06510
Phone (203) 789-2011

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

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

Interoperability endpoints

  • Direct secure messaging: ccarter561427@direct.ynhh.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1619580263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 CONGDON ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CONNECTICUT BLVD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083015",
            "telephone_number": "860-761-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Temple St Ste 7A",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102715",
            "country_code": "US",
            "telephone_number": "203-789-2011",
            "fax_number": "203-865-1708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHELSEA",
        "middle_name": "ALVES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "12.009146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9146",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CT",
            "license": "9146",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "12.009146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.