Active NPI
Marci Anne McAllister, PA-C
- Surgical Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 002209
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCAdvanced Orthopedics New England
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2209 | CT | MD | Behavioral Analyst |
| 002209 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics New England | Current | 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
- 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Middlebury, CT
- NPI 1083797401
CT
-
- Specialist
- Rocky Hill, CT
- NPI 1083905319
-
- Specialist
- Enfield, CT
- NPI 1427348770
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1457803702
-
- Durable Medical Equipment & Medical Supplies
- Vernon, CT
- NPI 1528640836
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.