Individual provider Active NPI

Henry Puciato, RN, APRN

  • Family Nurse Practitioner
  • Madison, CT
National Provider Identifier
1801183827
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4697 Issued in CT
Practice address
146 Samson Rock Dr
Madison, CT 06443-3018
Phone
(203) 868-6201
NPI assigned
Jun 29, 2011
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4697 CT Primary
Emergency Registered Nurse 163WE0003X 075149 CT

Addresses

Primary practice location

146 Samson Rock Dr
Madison, CT 06443-3018

Mailing address

7 Broad Hill Cir
Guilford, CT 06437-1722

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
I20120215000110 CT Practitioner - Nurse Practitioner 0446418883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

896 Washington St
Middletown, CT 06457-2912
Phone (860) 788-3632

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075149CTMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

Interoperability endpoints

  • Direct secure messaging: henry.puciato@xdr.hhchealthdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1801183827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BROAD HILL CIR",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SAMSON ROCK DR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433018",
            "telephone_number": "203-868-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCIATO",
        "first_name": "HENRY",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "4697",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CT",
            "license": "075149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.