NPIMap

Individual provider Active NPI

Karin E Grann, N.P.

  • Acute Care Nurse Practitioner
  • Willimantic, CT
National Provider Identifier
1730477761
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4702 Issued in CT
Practice address
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone
(203) 284-1340
Fax
(203) 265-4557
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4702 CT Primary
Registered Nurse 163W00000X 82608 CT

Addresses

Primary practice location

112 Mansfield Ave
Willimantic, CT 06226-2045

Mailing address

PO Box 4131
Yalesville, CT 06492-1481
Phone (203) 284-1340

Other identifiers 1

IdentifierTypeStateIssuer
82608OtherCTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000248 CT Practitioner - Nurse Practitioner 3476720889 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windham Community Memorial Hospital IncGroup PAC ID 2961309059, 67 clinicians

Practice addresses (Care Compare)

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-9116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
79.59
Promoting interoperability
100
Improvement activities
40
Cost
81.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82608CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Acute Care Current Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Jul 27, 2016 Accepting new patients
Ipc Hospitalists of New England, P.C. Acute Care CurrentSince Jul 27, 2016 Accepting new patients
The William W Backus Hospital Current Accepting new patients
Starling Physicians PLLC CurrentSince Dec 15, 2015 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Dec 1, 2011 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC CurrentSince Feb 20, 2024 Accepting new patients
William W Backus Hospital CurrentSince Jan 1, 2018 Accepting new patients
Hospital Medicine Associates LLC CurrentSince Aug 26, 2017 Accepting new patients
The William W Backus Hospital CurrentSince Jan 1, 2018 Accepting new patients
Starling Physicians, PLLC CurrentSince Dec 15, 2015 Accepting new patients
Day Kimball Medical Group Inc CurrentSince Jul 16, 2019 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

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

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

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

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: karin.grann@xdr.hhchealthdirect.org
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1730477761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4131",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "064921481",
            "telephone_number": "203-284-1340",
            "fax_number": "203-265-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262045",
            "telephone_number": "203-284-1340",
            "fax_number": "203-265-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANN",
        "first_name": "KARIN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "4702",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "82608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "82608",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.