Active NPI
Melanie Dulce Ricafort, APRN
- Acute Care Nurse Practitioner
- Bloomfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 00530
- Practice address
- 711 Cottage Grove Rd
Bloomfield, CT 06002-3060 - Phone
- (860) 242-8756
- Fax
- (860) 242-3052
- NPI assigned
- Feb 22, 2013
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 00530 | CT | Primary |
Addresses
Primary practice location
711 Cottage Grove Rd
Bloomfield, CT 06002-3060
Mailing address
711 Cottage Grove Rd
Bloomfield, CT 06002-3060
Phone (860) 242-8756
Other practice location 1
428 Columbus Ave
Internal Medicine
New Haven, CT 06519-1233
Phone (203) 503-3000 ext. 3819
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008043707 | Medicaid | CT | |
| 075726 | Other | CT | CONNECTICARE |
| D400085911 | Other | CT | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681
194 Howard St
New London, CT 06320-5544
Phone (860) 444-3366
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5300 | CT | MD | Occupational Therapist |
| 00530 | CT | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Medical Services Southeast LLC | Acute Care | Current | Accepting new patients |
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Acute Care | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
194 Howard St
New London, CT 06320
Phone (860) 442-0564
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- mdulce460765@direct.ynhh.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
Acute Care, CT
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1659611978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023060",
"telephone_number": "860-242-8756",
"fax_number": "860-242-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023060",
"telephone_number": "860-242-8756",
"fax_number": "860-242-3052"
}
],
"practiceLocations": [
{
"address_1": "428 Columbus Ave",
"address_2": "Internal Medicine",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065191233",
"country_code": "US",
"telephone_number": "203-503-3000 x3819",
"fax_number": "203-503-3224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICAFORT",
"first_name": "MELANIE",
"middle_name": "DULCE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "00530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008043707",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "075726",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "D400085911",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.