Individual provider Active NPI

Carlos Powell Milla, DNP

  • Family Nurse Practitioner
  • Ridgefield, CT
National Provider Identifier
1669644670
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10687 Issued in CT
Practice address
6 Fulling Mill LN
Ridgefield, CT 06877-3407
Phone
(203) 417-4182
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 350086 NY
Family Nurse Practitioner 363LF0000X 10687 CT Primary

Addresses

Primary practice location

6 Fulling Mill LN
Ridgefield, CT 06877-3407

Mailing address

6 Fulling Mill LN
Ridgefield, CT 06877-3407
Phone (203) 417-4182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230417001635 NY Practitioner - Nurse Practitioner 4981089539 Reassigns benefits to 3 organizations
I20230601000474 CT Practitioner - Nurse Practitioner 4981089539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000

Hospital & facility affiliations

  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Oct 8, 2024 Accepting new patients
Emergency Physicians of Connecticut PC Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Jun 1, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 8, 2024 Accepting new patients

Locations

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

300 Community Dr
Plandome, NY 11030

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: cmilla60918@northwell.direct-ci.com

Organizations & group practices 5

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 3

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1669644670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FULLING MILL LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773407",
            "telephone_number": "203-417-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FULLING MILL LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773407",
            "telephone_number": "203-417-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLA",
        "first_name": "CARLOS",
        "middle_name": "POWELL",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.