Individual provider Active NPI

Nicklos Michael Markey, APRN

  • Critical Care Neonatal Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1700057437
Registry record updated Feb 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
003546 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-0001
Phone
(860) 679-2000
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 003546 CT Primary
Neonatal Nurse Practitioner 363LN0000X 003546 CT

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

67 Glenwood Rd
South Windsor, CT 06074-3027
Phone (860) 648-2620

Other identifiers 1

IdentifierTypeStateIssuer
003546OtherCTCT APRN LICENSE

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
I20080519000541 CT Practitioner - Nurse Practitioner 5597834416 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3546CTMDOccupational Therapist
003546CTMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Neonatal, Critical Care CurrentSince Feb 21, 2010 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Feb 20, 2011 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Feb 20, 2011 Accepting new patients
Middlesex Hospital CurrentSince Feb 21, 2010 Accepting new patients

Locations

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

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

60 Hartland St
East Hartford, CT 06108

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

263 Farmington Ave
Fl 2
Farmington, CT 06030

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

100 Retreat Ave
Fl 5
Hartford, CT 06106
Phone (860) 837-5206

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

80 Seymour St
Fl 5
Hartford, CT 06106
Phone (860) 545-8950

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

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

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

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

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: nmarkey10882@direct.med.uchc.edu
  • Direct secure messaging: nmarkey14522@middlesexhealthprd.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298073600000",
    "number": "1700057437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GLENWOOD RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743027",
            "telephone_number": "860-648-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEY",
        "first_name": "NICKLOS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2011-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CT",
            "license": "003546",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CT",
            "license": "003546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT APRN LICENSE",
            "identifier": "003546",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.