Individual provider Active NPI

Susan Chmael, A.P.R.N.

  • Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1821327958
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12.0004281 Issued in CT
Practice address
Gray Cancer Ctr
85 Retreat Ave
Hartford, CT 06160-0001
Phone
(860) 249-6291
Fax
(860) 728-0151
NPI assigned
Dec 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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 12.0004281 CT Primary

Addresses

Primary practice location

Gray Cancer Ctr
85 Retreat Ave
Hartford, CT 06160-0001

Mailing address

Gray Cancer Ctr
85 Retreat Ave
Hartford, CT 06160-0001
Phone (860) 249-6291

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
I20100224000833 CT Practitioner - Nurse Practitioner 7911041298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.0004281CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Oct 19, 2011 Accepting new patients
Yale University CurrentSince Oct 19, 2011 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1821327958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GRAY CANCER CTR",
            "address_2": "85 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061600001",
            "telephone_number": "860-249-6291",
            "fax_number": "860-728-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAY CANCER CTR",
            "address_2": "85 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061600001",
            "telephone_number": "860-249-6291",
            "fax_number": "860-728-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMAEL",
        "first_name": "SUSAN",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12.0004281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.