Individual provider Active NPI

John P Martin-Beaulieu, APRN

  • Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1699203745
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
007106 Issued in CT
Practice address
85 Jefferson Street
Hartford Hospital Cardiology Dept
Hartford, CT 06102
Phone
(860) 972-1506
NPI assigned
Jun 1, 2017
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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 007106 CT Primary
Adult Health Nurse Practitioner 363LA2200X 007106 CT

Addresses

Primary practice location

85 Jefferson Street
Hartford Hospital Cardiology Dept
Hartford, CT 06102

Mailing address

80 Seymour Street
Hartford Hospital Cardiology Dept
Hartford, CT 06102-5037
Phone (860) 972-1506

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
I20171025001275 CT Practitioner - Nurse Practitioner 9436425147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

65 Memorial Rd
West Hartford, CT 06107-2434

Hospital & facility affiliations

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
007106CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 1, 2019 Accepting new patients
Hartford Hospital CurrentSince Aug 26, 2017 Accepting new patients
Hartford Hospital CurrentSince Aug 26, 2017 Accepting new patients
Hartford Hospital CurrentSince Aug 26, 2017 Accepting new patients

Locations

85 Jefferson St
Hartford, CT 06106
Phone (860) 972-1212

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

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

65 Memorial Rd
West Hartford, CT 06107
Phone (860) 231-1707

65 Memorial Rd
Ste 500
West Hartford, CT 06107
Phone (860) 432-2100

Interoperability endpoints

  • Direct secure messaging: john.martin-beaulieu@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1699203745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL CARDIOLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "860-972-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 JEFFERSON STREET",
            "address_2": "HARTFORD HOSPITAL CARDIOLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06102",
            "telephone_number": "860-972-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-BEAULIEU",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "007106",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "007106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.