Individual provider Active NPI

Tara A. Robertson, APRN

  • Family Nurse Practitioner
  • Greenwich, CT
National Provider Identifier
1679069561
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7621 Issued in CT
Practice address
15 Valley Dr Ste 200
Greenwich, CT 06831
Phone
(203) 863-4210
Fax
(203) 622-1872
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7621 CT Primary

Addresses

Primary practice location

15 Valley Dr Ste 200
Greenwich, CT 06831

Mailing address

15 Valley Dr Ste 200
Greenwich, CT 06831-5205
Phone (203) 863-4210

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023001851 CT Practitioner - Nurse Practitioner 8426301334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

425 Post Rd
Fairfield, CT 06824-6232
Phone (203) 254-2452

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Yale University CurrentSince Jan 8, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Feb 1, 2023 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Yale University CurrentSince Jan 8, 2019 Accepting new patients
Greenwich Hospital Past Accepting new patients

Locations

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

15 Valley Dr
Ste 200
Greenwich, CT 06831
Phone (203) 863-3008

15 Valley Dr
Ste 2
Greenwich, CT 06831
Phone (203) 869-2111

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

115 Technology Dr
Unit C300
Trumbull, CT 06611
Phone (203) 445-7093

Interoperability endpoints

  • Direct secure messaging: tara.robertson@xdr.hhchealthdirect.org
  • Direct secure messaging: trobertson409904@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.

Hospital & facility affiliations 1

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1679069561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR STE 200",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "203-863-4210",
            "fax_number": "203-622-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR STE 200",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "telephone_number": "203-863-4210",
            "fax_number": "203-622-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TARA",
        "middle_name": "A.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.