Kathryn M McDonnell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

002139 Issued in CT

Practice address

1291 Boston Post Rd
Suite 105
Madison, CT 06443-3476

Phone

(203) 245-1413

Fax

(860) 358-8655

NPI assigned

Nov 1, 2006

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

Other identifiers 1

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MHS Primary Care, Inc.Group PAC ID 4082507371, shared by 4 NPIs, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
• Middlesex Hospital Hospital, Middletown, CT, CCN 070020
• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmcdonnell9682@middlesexhealthprd.direct-ci.com

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.

• MHS Primary Care Inc

  dba Middlesex Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Old Saybrook, CT
  • NPI 1093138935

  Family

  Medicare reassignment NPD
• MHS Primary Care, Inc

  • Family Medicine Physician
  • Middletown, CT
  • NPI 1336279058
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  dba Home Care Plus South Central Connecticut

  • Home Health Agency
  • New Haven, CT
  • NPI 1043217482
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  dba Home Care Plus Inc

  • Home Health Agency
  • Milford, CT
  • NPI 1407932056
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1649357807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4820",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BOSTON POST RD",
            "address_2": "SUITE 105",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433476",
            "telephone_number": "203-245-1413",
            "fax_number": "860-358-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4201092",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Mastrobattisto, D.C.
• Maynard Medical, LLC
• Kristi Maynard, APRN
• Angelica Davison McCarthy, DAT, LAT, ATC
• Vanessa McConville
• Courtney McGuigan, CRNA
• Renee Andersen McIntyre, LCSW
• Kelly A. McWilliams, LCSW
• Caraline Mee
• Mary Megargee, CCCSLP

• Family Nurse Practitioner in Madison, CT
• Providers in Madison, 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 Apr 12, 2017; 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.