Individual provider Active NPI

Monica Marie Backiel, FNP-C

  • Family Nurse Practitioner
  • Wethersfield, CT
National Provider Identifier
1871925487
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5410 Issued in CT
Practice address
1283 Silas Deane Hwy
Wethersfield, CT 06109-4302
Phone
(860) 249-8659
NPI assigned
Aug 6, 2013
Last updated
May 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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 5410 CT Primary

Addresses

Primary practice location

1283 Silas Deane Hwy
Wethersfield, CT 06109-4302

Mailing address

34 Summit St
Newington, CT 06111-1711
Phone (860) 570-0162

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
I20131011000867 CT Practitioner - Nurse Practitioner 2466686134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Mar 1, 2017 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Sep 9, 2013 Accepting new patients
Middlesex Hospital CurrentSince Mar 1, 2017 Accepting new patients
MWL-Wethersfield PastSince Aug 1, 2020 Accepting new patients
MJS One, LLC Past Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

534 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2500

Interoperability endpoints

  • Direct secure messaging: mbackiel12618@middlesexhealthprd.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1871925487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SUMMIT ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111711",
            "telephone_number": "860-570-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094302",
            "telephone_number": "860-249-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKIEL",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.