Individual provider Active NPI

Christelle Nimba, NP

  • Family Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1841955663
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10206 Issued in CT
Practice address
101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568
Phone
(203) 696-3550
NPI assigned
Nov 5, 2021
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216001724 CT Practitioner - Nurse Practitioner 0345631842 Reassigns benefits to 6 organizations

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
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

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

LicenseStateTypeSpecialty
10206CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
Northeast Medical Group, Inc. CurrentSince May 10, 2022 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince May 10, 2022 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
HDC Care Solutions, LLC Family CurrentSince May 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2023 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.