Individual provider Active NPI

Alyssa E Zipadelli

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1760197412
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12079 Issued in CT
Practice address
92 Plains Rd Apt B42
Milford, CT 06461-2505
Phone
(860) 919-9386
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 143208 CT
Family Nurse Practitioner 363LF0000X 12079 CT Primary

Addresses

Primary practice location

92 Plains Rd Apt B42
Milford, CT 06461-2505

Mailing address

9 Covered Bridge Rd Unit 2307
Newtown, CT 06470-1283
Phone (860) 919-9386

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
I20231102003252 CT Practitioner - Nurse Practitioner 7517314107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

40 Cross St
Norwalk, CT 06851-4647
Phone (203) 546-3377

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143208CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain and Headache Treatment Centers, LLC CurrentSince Sep 23, 2023 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Dec 30, 2024 Accepting new patients

Locations

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

130 Division St
Derby, CT 06418
Phone (203) 732-1330

546 S Broad St
Ste 4D
Meriden, CT 06450
Phone (203) 238-7642

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

30 Stevens St
Norwalk, CT 06850
Phone (203) 852-2262

1 Bradley Rd
Ste 301
Woodbridge, CT 06525
Phone (203) 732-1570

Organizations & group practices 2

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.

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1760197412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COVERED BRIDGE RD UNIT 2307",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701283",
            "telephone_number": "860-919-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 PLAINS RD APT B42",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612505",
            "telephone_number": "860-919-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPADELLI",
        "first_name": "ALYSSA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "143208",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.