Individual provider Active NPI

Vanessa Pomarico-Denino, APRN

  • Primary Care Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1801832803
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
001906 Issued in CT
Practice address
9 Washington Ave
Hamden, CT 06518-3267
Phone
(203) 281-6811
Fax
(203) 287-9904
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 001906 CT Primary

Addresses

Primary practice location

9 Washington Ave
Hamden, CT 06518-3267

Mailing address

9 Washington Ave
Hamden, CT 06518-3267
Phone (203) 281-6811

Other identifiers 6

IdentifierTypeStateIssuer
0Q3519OtherCTHEALTHNET
P2739411OtherCTOXFORD
004236057MedicaidCT
400001906CT02OtherCTANTHEM BLUE/CROSS
0019062675OtherCTCONNECTICARE
P00017792OtherCTRAILROAD MEDICARE

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
I20111101000660 CT Practitioner - Nurse Practitioner 9931232345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

9 Washington Ave
Hamden, CT 06518-3267
Phone (203) 281-6811

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001906CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jan 12, 2015 Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

9 Washington Ave
Hamden, CT 06518
Phone (203) 230-2546

100 Broadway
North Haven, CT 06473
Phone (203) 234-1891

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

67 Masonic Ave
Ste 3100
Wallingford, CT 06492
Phone (203) 284-3144

67 Masonic Ave
Ste 2400
Wallingford, CT 06492
Phone (203) 284-3159

Interoperability endpoints

  • Direct secure messaging: vpomaricodenino4278@direct.ynhh.org

Organizations & group practices 1

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 4

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1801832803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183267",
            "telephone_number": "203-281-6811",
            "fax_number": "203-287-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183267",
            "telephone_number": "203-281-6811",
            "fax_number": "203-287-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMARICO-DENINO",
        "first_name": "VANESSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "001906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0Q3519",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2739411",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236057",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE/CROSS",
            "identifier": "400001906CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "0019062675",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00017792",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.