Sherifa Bello, MSN
Individual provider Active NPI Gerontology Nurse Practitioner · East Hartford, CT
NPI 1720599541 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1720599541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 0197234 (CT)
- Practice address
- 1333 Burnside Ave Apt A3
East Hartford, CT 06108-1517 - Phone
- (860) 712-5949
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HDC Care Solutions LLC
Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681
30 Loeffler Rd
Bloomfield, CT 06002-2256
Phone (860) 380-5150
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180510001704 | CT | Practitioner - Nurse Practitioner | 1456615806 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0197234 | CT | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care H PC | Current |
Accepting new patients | |
| Careconnectmd Connecticut PC | Current |
Accepting new patients | |
| Healthdrive Medical Services Southeast LLC | Gerontology | Current |
Accepting new patients |
| Hartford Healthcare Medical Group, Inc | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current |
Accepting new patients | |
| HDC Care Solutions, LLC | Gerontology | Current |
Accepting new patients |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
30 Loeffler Rd
Bloomfield, CT 06002
Phone (860) 380-5150
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Ste 102
Wethersfield, CT 06109
Interoperability endpoints
- sherifa.bello@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0197234 | CT | Yes |
Addresses
Primary practice location
1333 Burnside Ave Apt A3
East Hartford, CT 06108-1517
Mailing address
1333 Burnside Ave Apt A3
East Hartford, CT 06108-1517
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0197234 | Other | CT | AANP |
Other providers in East Hartford, CT
- Kimberly L Beauregard
- Beautiful Mind LLC
- Alexia Beben
- Monica Beckett
- Amari Bell
- Idalis Beltran-Fiss
- Brittany Erin Bengtson
- Alexys Taylor Bennett
- Crystal Benoit
- Jodi Berger
All providers in East Hartford, CT · Gerontology Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.