Active NPI
Concepcion Cortes, APRN
- Psychiatric/Mental Health Nurse Practitioner
- New Britain, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 003611
- Practice address
- 2150 Corbin Ave
New Britain, CT 06053-2266 - Phone
- (860) 612-6381
- Fax
- (860) 612-6385
- NPI assigned
- Aug 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 003611 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 003611 | CT | Primary |
Addresses
Primary practice location
2150 Corbin Ave
New Britain, CT 06053-2266
Mailing address
2150 Corbin Ave
New Britain, CT 06053-2266
Phone (860) 612-6381
Other practice location 1
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-2333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003611 | Other | CT | ADVANCED PRACTICE REGISTERED NURSE LICENSE |
| 004036117 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003611 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Holyoke Health Center Inc. | Past | Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761
Interoperability endpoints
- concepcion.cortes.p1@direct.wheelerclinic.nextgenshare.com
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
dba Chicopee Health Center
- Community Health Clinic/Center
- Chicopee, MA
- NPI 1518948595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679765275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 CORBIN AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060532266",
"telephone_number": "860-612-6381",
"fax_number": "860-612-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 CORBIN AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060532266",
"telephone_number": "860-612-6381",
"fax_number": "860-612-6385"
}
],
"practiceLocations": [
{
"address_1": "114 Woodland St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061051208",
"country_code": "US",
"telephone_number": "860-714-2333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORTES",
"first_name": "CONCEPCION",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "003611",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "003611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE REGISTERED NURSE LICENSE",
"identifier": "003611",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004036117",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.