Individual provider Active NPI

Michelle C Dimauro, APRN

  • Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1760935373
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6574 Issued in CT
Practice address
107 Newtown Rd Ste 1B
Danbury, CT 06810-4151
Phone
(203) 830-4700
Fax
(203) 790-5324
NPI assigned
Jul 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6574 CT Primary

Addresses

Primary practice location

107 Newtown Rd Ste 1B
Danbury, CT 06810-4151

Mailing address

107 Newtown Rd Ste 2a
Danbury, CT 06810-4180
Phone (203) 830-4700

Other practice location 1

33 Germantown Rd Ste 2
Danbury, CT 06810-5039
Phone (203) 739-8330

Other practice location 2

88 Ball Pond Rd
Danbury, CT 06811-2848
Phone (203) 312-9458

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
I20171028000276 CT Practitioner - Nurse Practitioner 6608142195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Specialty Care, P.C.Group PAC ID 2567353121, 24 clinicians

Practice addresses (Care Compare)

107 Newtown Rd
Suite 2a
Danbury, CT 06810-4151
Phone (203) 830-4700

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Specialty Care, P.C. CurrentSince Aug 2, 2022 Accepting new patients
Advanced Audiology & Hearing Aid Services PastSince May 22, 2022 Accepting new patients
Allergy & Asthma Assoc., P.C. PastSince May 22, 2022 Accepting new patients

Locations

107 Newtown Rd
Ste 1B
Danbury, CT 06810
Phone (203) 748-7433

107 Newtown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 830-4700

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

131 Kent Rd
New Milford, CT 06776
Phone (860) 350-3330

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michelle.dimauroaprn.p1@direct.asc.nextgenshare.com

Organizations & group practices 3

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 2

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": "1469923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1760935373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 2A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104180",
            "telephone_number": "203-830-4700",
            "fax_number": "203-730-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 1B",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104151",
            "telephone_number": "203-830-4700",
            "fax_number": "203-790-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Germantown Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105039",
            "country_code": "US",
            "telephone_number": "203-739-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Ball Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068112848",
            "country_code": "US",
            "telephone_number": "203-312-9458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMAURO",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "6574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.