Individual provider Active NPI

Miwako Ohta-Agresta, CNM

  • Advanced Practice Midwife
  • Bristol, CT
National Provider Identifier
1720181803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000085 Issued in CT
Practice address
25 Newell Rd
D28
Bristol, CT 06010
Phone
(860) 584-4240
Fax
(860) 585-5852
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 000085 CT Primary

Addresses

Primary practice location

25 Newell Rd
D28
Bristol, CT 06010

Mailing address

25 Newell Rd
D28
Bristol, CT 06010
Phone (860) 584-4240

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000083 CT Practitioner - Certified Nurse Midwife (CNM) 6800862202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

146 Hazard Ave
Suite 200
Enfield, CT 06082-4566
Phone (860) 236-5431

449 Farmington Ave
Hartford, CT 06105-4424
Phone (860) 236-5431

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000085CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Advanced Practice Midwife CurrentSince Jul 4, 2009 Accepting new patients
Women'S Health of Central Ma. PC Past Accepting new patients
Hartford Healthcare Laboratories Past Accepting new patients

Locations

44 Dale Rd
Ste 306
Avon, CT 06001

25 Newell Rd
Ste D28
Bristol, CT 06010
Phone (860) 582-1220

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

146 Hazard Ave
Ste 200
Enfield, CT 06082
Phone (860) 236-5431

8 Two Mile Rd
Ste 204
Farmington, CT 06032
Phone (860) 246-8568

449 Farmington Ave
Hartford, CT 06105
Phone (860) 233-3869

435 Buckland Rd
South Windsor, CT 06074
Phone (860) 249-3272

Interoperability endpoints

  • Direct secure messaging: miwako.ohta-agresta.1@10170.direct.athenahealth.com
  • Direct secure messaging: miwako.ohta-agresta.5@10170.direct.athenahealth.com
  • Direct secure messaging: miwako.ohta-agresta.4@10170.direct.athenahealth.com

Organizations & group practices 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720181803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD",
            "address_2": "D28",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-584-4240",
            "fax_number": "860-585-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD",
            "address_2": "D28",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-584-4240",
            "fax_number": "860-585-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHTA-AGRESTA",
        "first_name": "MIWAKO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.