Individual provider Active NPI

Vanessa Bolling

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1902282569
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6154 Issued in CT
Practice address
55 Oak St
Glastonbury, CT 06033-2315
Phone
(860) 714-9730
NPI assigned
Aug 6, 2015
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 6154 CT Primary

Addresses

Primary practice location

55 Oak St
Glastonbury, CT 06033-2315

Mailing address

21 Grand St
Hartford, CT 06106-1541
Phone (860) 714-9730

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
I20150922001781 CT Practitioner - Nurse Practitioner 7517274665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

23 Liberty Dr
Suite a
Hebron, CT 06248-1553
Phone (860) 228-1119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Mar 1, 2016 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Integrative Core Wellness, LLC Current Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Hartford Healthcare Medical Group, Inc PastSince Mar 1, 2016 Accepting new patients

Locations

21 Grand St
Hartford, CT 06106

23 Liberty Dr
Ste A
Hebron, CT 06248
Phone (860) 228-1119

112 Spencer St
Ste 2A
Manchester, CT 06040
Phone (860) 791-8170

256 N Main St
Manchester, CT 06042
Phone (860) 646-8595

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

Interoperability endpoints

  • Direct secure messaging: vanessa.thomas@xdr.hhchealthdirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1902282569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061541",
            "telephone_number": "860-714-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332315",
            "telephone_number": "860-714-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.