Individual provider Active NPI

Vicki Nolan Marnin, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, CT
National Provider Identifier
1902968852
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13873 Issued in CT
Practice address
943 Boston Post Rd
Madison, CT 06443-3236
Phone
(203) 318-8884
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LMN0240 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13873 CT Primary

Addresses

Primary practice location

943 Boston Post Rd
Madison, CT 06443-3236

Mailing address

240 Cross St
Middletown, CT 06457-3143
Phone (860) 349-0731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090706000637 MA Practitioner - Certified Nurse Midwife (CNM) 8123179090 Reassigns benefits to 1 organization
I20250410001469 CT Practitioner - Certified Nurse Midwife (CNM) 8123179090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centered PLLCGroup PAC ID 7810368594, 3 clinicians

Practice addresses (Care Compare)

285 Nicoll St
Suite 104
New Haven, CT 06511-0925
Phone (203) 606-2395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
240CTMDSports Physician Chiropractor
LMN0240CTMDMidwife
13873CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Centered PLLC CurrentSince Jan 7, 2025 Accepting new patients
Baystate Affiliated Practice Organization Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1902968852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CROSS ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573143",
            "telephone_number": "860-349-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 BOSTON POST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433236",
            "telephone_number": "203-318-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNIN",
        "first_name": "VICKI",
        "middle_name": "NOLAN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "LMN0240",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.