Catherine G Micinilio, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

001098 Issued in CT

Practice address

7003 Main St
Stratford, CT 06614

Phone

(203) 257-6647

NPI assigned

Oct 4, 2006

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

Other identifiers 1

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

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.

• Connecticut Post Acute Medical Services 1 PC

  • Hospitalist Physician
  • Derby, CT
  • NPI 1558890467
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  CT

  Medicare reassignment NPD
• Ipc Hospitalists of New England, P.C.

  • Pediatric Cardiology Physician
  • Springfield, MA
  • NPI 1821401761

  CT, Family

  Medicare reassignment NPD
• Ma Pacs 2 PC

  • Hospitalist Physician
  • Chelsea, MA
  • NPI 1265918791

  CT

  Medicare reassignment NPD
• Ipc Hospitalists of New England PC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1801330287
  NPD
• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1659555266

  Family

  NPD
• NP Care, LLC

  • Internal Medicine Physician
  • Shelton, CT
  • NPI 1326238866
  NPD (past)
• NP Care, LLC

  • Nurse Practitioner
  • Shelton, CT
  • NPI 1386693182
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1932295656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 INVERNESS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111716",
            "telephone_number": "203-257-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "203-257-6647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4699 Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "06606",
            "country_code": "US",
            "telephone_number": "203-452-8322",
            "fax_number": "203-452-2296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4699 Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "06606",
            "country_code": "US",
            "telephone_number": "203-452-8322",
            "fax_number": "203-452-2296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICINILIO",
        "first_name": "CATHERINE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "001098",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT APRN LICENCE",
            "identifier": "001098",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Socci Mercado, LCSW
• Hayley Ann Merrill, PA-C
• Calvin Junior Metellus
• Michael Otoole DNP Aprn LLC
• Benny Chemmacheril Michael, PHARMD.
• Ryan Matthew Milano
• Vincent N Miles, M.D.
• Goran Miljkovic, M.D.
• Peter Milner
• Robert M. Milstein, M.D.

• Family Nurse Practitioner in Stratford, CT
• Providers in Stratford, 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 Dec 13, 2018; 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.