Individual provider Active NPI

Marci Anne McAllister, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
National Provider Identifier
1760629448
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
002209 Issued in CT
Practice address
1000 Asylum Ave
Suite 2126
Hartford, CT 06105-1770
Phone
(860) 728-6740
Fax
(860) 547-1554
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 002209 CT Primary

Addresses

Primary practice location

1000 Asylum Ave
Suite 2126
Hartford, CT 06105-1770

Mailing address

1000 Asylum Ave
Suite 2126
Hartford, CT 06105-1770
Phone (860) 728-6740

Other names 1

  • Marci Anne Cookson Former name

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
I20090220000182 CT Practitioner - Physician Assistant 9638234917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Orthopaedics PCGroup PAC ID 1759399165, 4 clinicians
Advanced Orthopedics New EnglandGroup PAC ID 9335108547, 19 clinicians

Practice addresses (Care Compare)

1579 Straits Tpke
Suite E
Middlebury, CT 06762-1835
Phone (203) 758-1272

1579 Straits Turnpike
Middlebury, CT 06762-1835

224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740

35 Jolley Dr
Suite 301
Bloomfield, CT 06002-4228
Phone (860) 242-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2209CTMDBehavioral Analyst
002209CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics New England CurrentSince Sep 22, 2008 Accepting new patients

Locations

35 Jolley Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 242-3000

113 Elm St
Ste 101
Enfield, CT 06082
Phone (860) 253-0276

1000 Asylum Ave
Ste 2126
Hartford, CT 06105
Phone (860) 242-3000

1084 Cromwell Ave
Ste 1
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: marci.mcallister.1@27677.direct.athenahealth.com

Organizations & group practices 6

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1760629448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 2126",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 2126",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "MARCI",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "002209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "COOKSON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.