Individual provider Active NPI

Marco Felipe Antunes Ribeiro, AGACNP-BC

  • Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1932616299
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2307343 Issued in MA
Practice address
85 Church St Ste 600
Middletown, CT 06457-3647
Phone
(860) 347-5333
Fax
(860) 346-3517
NPI assigned
Jan 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2307343 MA Primary

Addresses

Primary practice location

85 Church St Ste 600
Middletown, CT 06457-3647

Mailing address

85 Church St Ste 600
Middletown, CT 06457-3647
Phone (860) 704-0363

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
I20200831001835 CT Practitioner - Nurse Practitioner 1456778836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robbins Medical, P.C.Group PAC ID 6709825961, 3 clinicians

Practice addresses (Care Compare)

85 Church St
Suite 600
Middletown, CT 06457-3647
Phone (860) 347-5333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2307343MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins Medical, P.C. CurrentSince Sep 1, 2020 Accepting new patients

Locations

85 Church St
Ste 600
Middletown, CT 06457
Phone (860) 347-5333

Organizations & group practices 1

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 3

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1932616299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CHURCH ST STE 600",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573647",
            "telephone_number": "860-704-0363",
            "fax_number": "860-346-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CHURCH ST STE 600",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573647",
            "telephone_number": "860-347-5333",
            "fax_number": "860-346-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "MARCO FELIPE",
        "middle_name": "ANTUNES",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2022-09-08",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2307343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.