Individual provider Active NPI

Marilyn Alexander Barnes, FNP

  • Family Nurse Practitioner
  • New London, CT
National Provider Identifier
1912003369
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16884 Issued in CT
Practice address
1 Shaws CV
New London, CT 06320-4902
Phone
(860) 447-8304
Fax
(860) 443-8720
NPI assigned
Sep 15, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0000231 DE
Family Nurse Practitioner 363LF0000X 16884 CT Primary

Addresses

Primary practice location

1 Shaws CV
New London, CT 06320-4902

Mailing address

19 Grand St
Middletown, CT 06457-2705
Phone (860) 347-6971

Other practice location 1

1095 S Bradford St
Dover, DE 19904-4141
Phone (302) 678-2000

Other identifiers 1

IdentifierTypeStateIssuer
0000989242MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190426002037 NM Practitioner - Nurse Practitioner 9436170370 Reassigns benefits to 2 organizations
I20210510001203 TX Practitioner - Nurse Practitioner 9436170370 Reassigns benefits to 1 organization
I20260320000164 CT Practitioner - Nurse Practitioner 9436170370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center IncGroup PAC ID 0547169138, 149 clinicians

Practice addresses (Care Compare)

1 Shaws CV
New London, CT 06320-4902
Phone (860) 447-8304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000231DEMDNurse Practitioner
16884CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Presbyterian Medical Services CurrentSince Aug 30, 2021 Accepting new patients
Hidalgo Medical Services Current Accepting new patients
Hidalgo Medical Services CurrentSince Sep 23, 2022 Accepting new patients
Hidalgo Medical Services CurrentSince Sep 23, 2022 Accepting new patients
Presbyterian Medical Services CurrentSince Aug 30, 2021 Accepting new patients
Thoreau Clinic CurrentSince Apr 30, 2021 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Srirengam Muralidhasan MD LLC Past Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients
Delmarva Rural Ministries, Inc. Past Accepting new patients
Modern Maturity Center PastSince Jan 15, 2023 Accepting new patients

Locations

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

114 W 11th St
Silver City, NM 88061
Phone (575) 388-1511

Interoperability endpoints

  • Direct secure messaging: marilyn.barnes@smm.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1912003369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GRAND ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572705",
            "telephone_number": "860-347-6971",
            "fax_number": "860-343-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHAWS CV",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204902",
            "telephone_number": "860-447-8304",
            "fax_number": "860-443-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 S Bradford St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044141",
            "country_code": "US",
            "telephone_number": "302-678-2000",
            "fax_number": "302-346-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "MARILYN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000231",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "16884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000989242",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.