Individual provider Active NPI

Gabrielle Rose Ukleja

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1912779208
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12725 Issued in CT
Practice address
27 Sycamore St Ste 100
Glastonbury, CT 06033-7208
Phone
(860) 659-0581
Fax
(860) 657-1806
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 143349 CT
Family Nurse Practitioner 363LF0000X 12725 CT Primary

Addresses

Primary practice location

27 Sycamore St Ste 100
Glastonbury, CT 06033-7208

Mailing address

30 Jordan Lane
Prime Healthcare, PC
Wethersfield, CT 06109-1278
Phone (860) 845-0905

Other practice location 1

20 Isham Rd Ste 100
West Hartford, CT 06107-2204
Phone (860) 659-0581

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
I20240212003384 CT Practitioner - Nurse Practitioner 5890138366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

27 Sycamore St
Suite 100
Glastonbury, CT 06033-7208
Phone (860) 659-0581

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12725CTMDEndodontist
143349CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare (Sleep Lab) CurrentSince Nov 24, 2025 Accepting new patients
Prime Healthcare, PC Family Current Accepting new patients
Infinite Medical PC CurrentSince Dec 3, 2023 Accepting new patients

Locations

27 Sycamore St
Ste 100
Glastonbury, CT 06033
Phone (860) 659-0581

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

20 Isham Rd
Ste 100
West Hartford, CT 06107
Phone (860) 247-2530

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

250 Skillman St
Ste 202
Brooklyn, NY 11205

Interoperability endpoints

  • Direct secure messaging: gabrielle.ukleja.1@31712.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1912779208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LANE",
            "address_2": "PRIME HEALTHCARE, PC",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-845-0905",
            "fax_number": "860-913-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SYCAMORE ST STE 100",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060337208",
            "telephone_number": "860-659-0581",
            "fax_number": "860-657-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Isham Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061072204",
            "country_code": "US",
            "telephone_number": "860-659-0581",
            "fax_number": "860-657-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKLEJA",
        "first_name": "GABRIELLE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "143349",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.