Geneva Nicole Beresford, APRN
Individual provider Active NPI Family Nurse Practitioner · South Windsor, CT
NPI 1942713656 · NPPES record last updated Aug 29, 2019
Key facts
- NPI
- 1942713656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7292 (CT)
- Practice address
- 1 Buckland Rd Ste 7
South Windsor, CT 06074-3764 - Phone
- (860) 550-7549
- Fax
- (860) 550-7529
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Healthcare Urgent Care Centers LLC
Charter Oak Health Center, Inc
Practice addresses (Care Compare)
1 Buckland Rd
Suite 7
South Windsor, CT 06074-3701
Phone (860) 698-4301
21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 85.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 46.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181227001968 | CT | Practitioner - Nurse Practitioner | 3577808245 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Urgent Care Centers, LLC | Current |
Accepting new patients | |
| Charter Oak Health Center, Inc. | Current |
Accepting new patients | |
| Charter Oak Health Center, Inc. | Current |
Accepting new patients |
Locations
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
21 Grand St
Hartford, CT 06106
1 Buckland Rd
Ste 7
South Windsor, CT 06074
Phone (860) 550-7549
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- geneva.beresford@xdr.hhchealthdirect.org
- geneva.beresford@cohc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7292 | CT | Yes |
Addresses
Primary practice location
1 Buckland Rd Ste 7
South Windsor, CT 06074-3764
Mailing address
1290 Silas Deane Hwy
HHC Cvo Enrollment
Wethersfied, CT 06109-4337
Phone (860) 972-6970
Other providers in South Windsor, CT
- Jennifer Bellody
- Julianne Belsky
- Koral Ben-Simon
- Benchmark Assisted Living LLC
- Peter Benet
- Frederic Jacob Bernstein
- Between Now and Then
- Lindsay Betzendahl
- Kristina Ann Biancardi
- Judit B Bodo-Maros
All providers in South Windsor, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.