Rebecca Mennillo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

68845 Issued in CT

Practice address

11 Green Hill Rd
Orange, CT 06477-1211

Phone

(203) 804-5821

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.mennillo.1@10170.direct.athenahealth.com

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.

• Physicians for Women's Health LLC

  • Obstetrics & Gynecology Physician
  • Rocky Hill, CT
  • NPI 1801826680

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1881320158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GREEN HILL RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771211",
            "telephone_number": "203-804-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GREEN HILL RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771211",
            "telephone_number": "203-804-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNILLO",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "68845",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "68845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Mary McGinnis, LCSW
• Heather Anne McVey, OTR/L
• Med-Aid LLC
• Medical Oncology & Hematology PC (Diagnostic Hematology Lab)
• Medtech
• MH Health Care Services, PC (Avangrid Health and Well Being Clinic)
• Milestones Behavioral Services, Inc.
• Fausto Minaya Correa
• Modern Dentistry of Orange (Orange Dental Care)
• Samantha Jade Moffett, RN

• Family Nurse Practitioner in Orange, CT
• Providers in Orange, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.