Monica Marie Backiel, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wethersfield, CT
NPI 1871925487 · NPPES record last updated May 13, 2016
Key facts
- NPI
- 1871925487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5410 (CT)
- Practice address
- 1283 Silas Deane Hwy
Wethersfield, CT 06109-4302 - Phone
- (860) 249-8659
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131011000867 | CT | Practitioner - Nurse Practitioner | 2466686134 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Current |
Accepting new patients | |
| MC Diagnostic of Connecticut, P.C. | Family | Current |
Accepting new patients |
| Middlesex Hospital | Current |
Accepting new patients | |
| MWL-Wethersfield | Past |
Accepting new patients | |
| MJS One, LLC | Past | Accepting new patients |
Locations
3514 Main St
Coventry, CT 06238
Phone (860) 298-5925
534 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2500
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
Interoperability endpoints
- mbackiel12618@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5410 | CT | Yes |
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
Other providers in Wethersfield, CT
- Askari H. Jafri, M.D., LLC
- Aspire Family Dental PC
- Ritu Atam
- Samuel I Awruch
- James Edward Babowice
- Samuel James Ballentine
- Karem Ballestas
- Sherry Banack
- Morgan Nicole Bare
- David John Barringer
All providers in Wethersfield, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.