Individual provider Active NPI

Denise Evette Mozone Marshall, DNP,APRN,CPNP-PC

  • Pediatric Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1851450159
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
13966 Issued in CT
Practice address
76 New Britain Ave
Hartford, CT 06106-3305
Phone
(860) 545-9300
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP5053 AZ
Pediatric Nurse Practitioner 363LP0200X AP113086 TX
Pediatrics Physician 208000000X 113086 TX
Pediatric Nurse Practitioner 363LP0200X 13966 CT Primary

Addresses

Primary practice location

76 New Britain Ave
Hartford, CT 06106-3305

Mailing address

1236 Claire St
Lantana, TX 76226-5537
Phone (972) 302-3422

Other practice location 1

2650 Flower Mound Rd
Flower Mound, TX 75028-4237
Phone (972) 645-6767

Other practice location 2

800 8th Ave Ste 200
Fort Worth, TX 76104-2619
Phone (817) 336-7275

Other identifiers 1

IdentifierTypeStateIssuer
821778MedicaidAZ

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
I20241016003043 CT Practitioner - Nurse Practitioner 9537159124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113086TXMDPediatrics Physician
AP5053AZMDPediatric Nurse Practitioner
13966CTMDPediatric Nurse Practitioner
AP113086TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc Pediatrics Current Accepting new patients
Community Health Center Inc CurrentSince Nov 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner Past Accepting new patients
Children'S Health PM Urgent Care, PLLC Past Accepting new patients

Locations

76 New Britain Ave
Hartford, CT 06106
Phone (860) 545-9300

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

Interoperability endpoints

  • Direct secure messaging: dmarshall73075@direct.phhs.org
  • Direct secure messaging: denise.mozonemarshall@chcict.eclinicaldirectplus.com

Organizations & group practices 4

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1851450159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 CLAIRE ST",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762265537",
            "telephone_number": "972-302-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NEW BRITAIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063305",
            "telephone_number": "860-545-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Flower Mound Rd",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750284237",
            "country_code": "US",
            "telephone_number": "972-645-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 8th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042619",
            "country_code": "US",
            "telephone_number": "817-336-7275",
            "fax_number": "817-336-8594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZONE MARSHALL",
        "first_name": "DENISE",
        "middle_name": "EVETTE",
        "credential": "DNP,APRN,CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP5053",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP113086",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "113086",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "13966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821778",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.