Individual provider Active NPI

Melanie Mollica, APRN

  • Family Nurse Practitioner
  • Torrington, CT
National Provider Identifier
1649281544
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002962 Issued in CT
Practice address
469 Migeon Ave
Community Health & Wellness Center
Torrington, CT 06790-4643
Phone
(860) 489-0931
Fax
(860) 489-3325
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002962 CT
Community Health Nurse Practitioner 363LC1500X 002962 CT
Family Nurse Practitioner 363LF0000X 002962 CT Primary

Addresses

Primary practice location

469 Migeon Ave
Community Health & Wellness Center
Torrington, CT 06790-4643

Mailing address

469 Migeon Ave
Community Health & Wellness Center
Torrington, CT 06790-4643
Phone (860) 489-0931

Other identifiers 2

IdentifierTypeStateIssuer
071834OtherMEDICARE
004247872MedicaidCT

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
I20040203000855 CT Practitioner - Nurse Practitioner 4284527367 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

469 Migeon Ave
Torrington, CT 06790-4643
Phone (860) 489-0931

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002962CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Feb 23, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Dec 27, 2021 Accepting new patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Nov 11, 2017 Accepting new patients
The Charlotte Hungerford Hospital Family CurrentSince Feb 23, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 27, 2021 Accepting new patients

Locations

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

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

52 Peck Rd
Torrington, CT 06790
Phone (860) 489-4022

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 7

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1649281544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MIGEON AVE",
            "address_2": "COMMUNITY HEALTH & WELLNESS CENTER",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904643",
            "telephone_number": "860-489-0931",
            "fax_number": "860-489-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MIGEON AVE",
            "address_2": "COMMUNITY HEALTH & WELLNESS CENTER",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904643",
            "telephone_number": "860-489-0931",
            "fax_number": "860-489-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLICA",
        "first_name": "MELANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002962",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CT",
            "license": "002962",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "071834",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004247872",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.