Individual provider Active NPI

Alyssa E Gruen, APRN

  • Family Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1851919567
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8923 Issued in CT
Practice address
755 Campbell Ave Ste 2
West Haven, CT 06516-3789
Phone
(038) 892-2972
Fax
(203) 889-2249
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 8923 CT Primary

Addresses

Primary practice location

755 Campbell Ave Ste 2
West Haven, CT 06516-3789

Mailing address

755 Campbell Ave Ste 2
West Haven, CT 06516-3789
Phone (203) 889-2297

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
I20210115000275 CT Practitioner - Nurse Practitioner 5496168221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Feb 1, 2021 Accepting new patients
Pediatric Advanced Care of West Haven LLC PastSince Jul 12, 2020 Accepting new patients

Locations

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

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

755 Campbell Ave
Ste 2
West Haven, CT 06516
Phone (203) 889-2297

Interoperability endpoints

  • Direct secure messaging: agruen185448@direct.ynhh.org

Organizations & group practices 3

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 2

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1851919567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 CAMPBELL AVE STE 2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163789",
            "telephone_number": "203-889-2297",
            "fax_number": "203-889-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 CAMPBELL AVE STE 2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163789",
            "telephone_number": "038-892-2972",
            "fax_number": "203-889-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEN",
        "first_name": "ALYSSA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.