Active NPI
Maria Anna M Go, APRN
- Adult Health Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 003310
- Practice address
- Evercare
450 Columbus Avenue
Hartford, CT 06103-6270 - Phone
- (860) 874-4552
- NPI assigned
- Nov 30, 2005
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 003310 | CT | Primary |
Addresses
Primary practice location
Evercare
450 Columbus Avenue
Hartford, CT 06103-6270
Mailing address
130 Brentwood Dr
Cheshire, CT 06410-3440
Phone (203) 272-7909
Other practice location 1
1 Cellini Pl Ste 102
West Haven, CT 06516-1666
Phone (203) 932-6481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004253895 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maria.go@xdr.hhchealthdirect.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|---|
| I20051215000099 | CT | Practitioner - Nurse Practitioner | 2961423108 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 83.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3310 | CT | MD | Professional Counselor |
| 003310 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHC Physician Services, PLLC | Adult Health | Current | Accepting new patients |
| HHC Physician Services, PLLC | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients | |
| NP Care, LLC | Past | Accepting new patients | |
| Practitioner Support Services LLP | Adult Health | Past | Accepting new patients |
Locations
322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228
240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252
250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700
689 Campbell Ave
West Haven, CT 06516
Phone (203) 933-3600
687 Campbell Ave
West Haven, CT 06516
Phone (203) 786-5068
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1790769107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 BRENTWOOD DR",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103440",
"telephone_number": "203-272-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVERCARE",
"address_2": "450 COLUMBUS AVENUE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061036270",
"telephone_number": "860-874-4552"
}
],
"practiceLocations": [
{
"address_1": "1 Cellini Pl Ste 102",
"address_purpose": "LOCATION",
"city": "West Haven",
"state": "CT",
"postal_code": "065161666",
"country_code": "US",
"telephone_number": "203-932-6481",
"fax_number": "203-932-4051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GO",
"first_name": "MARIA ANNA",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "003310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004253895",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "maria.go@xdr.hhchealthdirect.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1 Cellini Pl Ste 102",
"city": "West Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065161666",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 13, 2023; 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.