Individual provider Active NPI

Emily D Rakaczki, APRN

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1689954034
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
007385 Issued in CT
Practice address
85 Seymour Street, Suite 601
Hartford Hospital Pre-Admission Center
Hartford, CT 06106-5525
Phone
(860) 972-2334
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 332301 NY
Nurse Practitioner 363L00000X 007385 CT
Family Nurse Practitioner 363LF0000X 336800 NM
Family Nurse Practitioner 363LF0000X 007385 CT Primary

Addresses

Primary practice location

85 Seymour Street, Suite 601
Hartford Hospital Pre-Admission Center
Hartford, CT 06106-5525

Mailing address

85 Seymour Street, Suite 601
Hartford Hospital Pre-Admission Center
Hartford, CT 06106-5525
Phone (860) 972-2334

Other practice location 1

2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-6362

Other names 1

  • Emily D Russell Former name

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
I20141027000038 NY Practitioner - Nurse Practitioner 4688895139 Reassigns benefits to 1 organization
I20180522002240 CT Practitioner - Nurse Practitioner 4688895139 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

85 Seymour St
Hartford, CT 06106-5501

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007385CTMDClinical Social Worker
336800NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Mar 6, 2018 Accepting new patients
Hartford Hospital CurrentSince Mar 13, 2022 Accepting new patients
Neurosurgical Associates of Central New York, LLP CurrentSince Aug 20, 2014 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Apr 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc Nurse Practitioner CurrentSince May 15, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 26, 2021 Accepting new patients
Upstate Neurosurgery LLP CurrentSince Aug 20, 2014 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Jul 26, 2021 Accepting new patients
Hartford Hospital CurrentSince Mar 13, 2022 Accepting new patients
Midstate Medical Center CurrentSince Mar 6, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Apr 1, 2019 Accepting new patients
Crouse Medical Practice PLLC Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Ste 601
Hartford, CT 06106
Phone (860) 972-2334

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

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

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

74 Mack St
Ste 4
Windsor, CT 06095
Phone (860) 242-8756

1060 Day Hill Rd
Ste 2
Windsor, CT 06095
Phone (860) 972-2334

1060 Day Hill Rd
Ste 202
Windsor, CT 06095
Phone (860) 683-1108

4900 Broad Rd
Ste 1352
Syracuse, NY 13215
Phone (315) 464-4470

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Interoperability endpoints

  • Direct secure messaging: emily.russell@xdr.hhchealthdirect.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1689954034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR STREET, SUITE 601",
            "address_2": "HARTFORD HOSPITAL PRE-ADMISSION CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065525",
            "telephone_number": "860-972-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR STREET, SUITE 601",
            "address_2": "HARTFORD HOSPITAL PRE-ADMISSION CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065525",
            "telephone_number": "860-972-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066064201",
            "country_code": "US",
            "telephone_number": "475-210-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKACZKI",
        "first_name": "EMILY",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "332301",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "007385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "336800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "007385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RUSSELL",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.