Kimberly Mancinelli-Hough, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14149 Issued in CT

Practice address

43 Crane Rd
Ellington, CT 06029-2004

Phone

(413) 427-2526

NPI assigned

Nov 16, 2024

Last updated

Nov 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Mancinelli-Hough Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Children's Specialty Group, Inc.

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1669448882
  Medicare reassignment NPD
• Connecticut Children's Specialty Group, Inc.

  • Ophthalmology Physician
  • Glastonbury, CT
  • NPI 1568056984
  NPD

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1659196590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CRANE RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292004",
            "telephone_number": "413-427-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CRANE RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292004",
            "telephone_number": "413-427-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINELLI-HOUGH",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "MANCINELLI-HOUGH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan D Lewis
• Lifecare Family Chiropractic LLC
• Klaudia Lobeska
• Love and Compassionate Care Corp
• Diane Madore, LCSW
• Heather M Mangold, M.S., CCC-SLP
• Amanda Lee Manzi
• Kristin A. Massaro
• Karen McDaniel, PH.D.
• Aissa Maria McGuirl, DPT CSCS

• Family Nurse Practitioner in Ellington, CT
• Providers in Ellington, 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 Nov 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.