Individual provider Active NPI

Maria Anna M Go, APRN

  • Adult Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1790769107
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
003310 Issued in CT
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

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004253895MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000099 CT Practitioner - Nurse Practitioner 2961423108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
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

LicenseStateTypeSpecialty
3310CTMDProfessional Counselor
003310CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC Adult Health CurrentSince Jan 1, 2021 Accepting new patients
HHC Physician Services, PLLC CurrentSince Jan 1, 2021 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.

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

Verify at the official NPI Registry.