Active NPI
Carrie Beth Wolf, CNM
- Advanced Practice Midwife
- Trumbull, CT
National Provider Identifier
1659488252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000197
- Practice address
- 5520 Park Ave Ste WP2-700
Trumbull, CT 06611-3463 - Phone
- (203) 374-1018
- Fax
- (203) 396-0699
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000197 | CT | Primary |
Addresses
Primary practice location
5520 Park Ave Ste WP2-700
Trumbull, CT 06611-3463
Mailing address
5520 Park Ave
Suite 302
Trumbull, CT 06611
Phone (203) 374-1018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004208444 | Medicaid | CT |
Other names 1
- Carrie Beth Hrubabla
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5520 Park Ave
Suite 302
Trumbull, CT 06611-3466
Phone (203) 374-1018
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.08 of 100
- Quality
- 85.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000197 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- carrie.wolf.1@10170.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1659488252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 PARK AVE",
"address_2": "SUITE 302",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-374-1018",
"fax_number": "203-396-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 PARK AVE STE WP2-700",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113463",
"telephone_number": "203-374-1018",
"fax_number": "203-396-0699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "CARRIE",
"middle_name": "BETH",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004208444",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "HRUBABLA",
"middle_name": "BETH",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.