Individual provider Active NPI

Stefanie Kathryn Barrett, FNP-BC

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1699072462
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8615 Issued in CT
Practice address
151 Hillside Ave
Hartford, CT 06106-3527
Phone
(860) 951-1060
NPI assigned
Feb 14, 2011
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 8615 CT Primary

Addresses

Primary practice location

151 Hillside Ave
Hartford, CT 06106-3527

Mailing address

9 Fulton PL
West Hartford, CT 06107-1129
Phone (860) 593-0596

Other names 1

  • Stefanie Kathryn Weinkauf Former name

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
I20200331002759 CT Practitioner - Nurse Practitioner 1850578014 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8615CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ma Pacs 2 PC CurrentSince Sep 29, 2020 Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Mar 16, 2020 Accepting new patients
Ses Operating Corp Past Accepting new patients

Locations

151 Hillside Ave
Hartford, CT 06106
Phone (203) 681-1212

111 Church St
Middletown, CT 06457
Phone (860) 347-3786

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1699072462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FULTON PL",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071129",
            "telephone_number": "860-593-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HILLSIDE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063527",
            "telephone_number": "860-951-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "STEFANIE",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "WEINKAUF",
            "middle_name": "KATHRYN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.