Active NPI
Christelle Nimba, NP
- Family Nurse Practitioner
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10206
- Practice address
- 101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568 - Phone
- (203) 696-3550
- NPI assigned
- Nov 5, 2021
- Last updated
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10206 | CT | Primary |
Addresses
Primary practice location
101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568
Mailing address
4293 Madison Ave
Trumbull, CT 06611-2739
Phone (203) 522-8109
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681
17 Church Hill Rd
Trumbull, CT 06611-3116
Phone (203) 696-3550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10206 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Healthdrive Medical Services Southeast LLC | Family | Current | Accepting new patients |
| HDC Care Solutions, LLC | Family | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
1381 Reservoir Ave
Bridgeport, CT 06606
Phone (203) 275-8555
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
2890 Main St
Ste 2A
Stratford, CT 06614
Phone (203) 378-3696
17 Church Hill Rd
Trumbull, CT 06611
Phone (203) 261-0800
Organizations & group practices 9
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
CT, Family
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Hospitalist Physician
- Greenwich, CT
- NPI 1881607232
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1841955663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4293 MADISON AVE",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066112739",
"telephone_number": "203-522-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CENTERPOINT DR STE 215",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064577568",
"telephone_number": "203-696-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMBA",
"first_name": "CHRISTELLE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "10206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.