Active NPI
Rose Marie Zmyslinski, APRN
- Psychiatric/Mental Health Nurse Practitioner
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 000872
- Practice address
- 21 Montauk Ave
New London, CT 06320-4906 - Phone
- (860) 439-6400
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 000872 | CT | Primary |
Addresses
Primary practice location
21 Montauk Ave
New London, CT 06320-4906
Mailing address
21 Montauk Ave
New London, CT 06320-4906
Phone (860) 271-4783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
118 S Broad St
Pawcatuck, CT 06379-1925
Phone (860) 572-8834
22 Case St
Norwich, CT 06360-2215
Phone (860) 823-1399
41 Faire Harbour PL
New London, CT 06320-4710
Phone (860) 437-6914
4705 Old Post Rd
Unit a
Charlestown, RI 02813-1842
Phone (401) 364-7705
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W Backus Hospital | Current | Accepting new patients | |
| Connecticut Behavioral Health Assoc, P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Gateway Healthcare Inc | Current | Accepting new patients | |
| The William W Backus Hospital | Current | Accepting new patients | |
| Urologic Associates, PC | Past | Accepting new patients |
Locations
616 Gold Star Hwy
Groton, CT 06340
Phone (860) 449-0020
70 Main St
Jewett City, CT 06351
Phone (860) 376-7040
41 Faire Harbour Pl
New London, CT 06320
Phone (860) 437-6914
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
118 S Broad St
Pawcatuck, CT 06379
Phone (860) 572-8834
1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1 Virginia Ave
Ste 200
Providence, RI 02905
Interoperability endpoints
- rose.zmyslinski.1@32885.direct.athenahealth.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New London, CT
- NPI 1629158126
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- Urology Physician
- New London, CT
- NPI 1740362730
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1750460770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204906",
"telephone_number": "860-271-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204906",
"telephone_number": "860-439-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZMYSLINSKI",
"first_name": "ROSE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "000872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.