Individual provider Active NPI

Mikaela Perrelli

  • Physician Assistant
  • Orange, CT
National Provider Identifier
1992376503
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5277 Issued in CT
Practice address
521 Boston Post Rd
Orange, CT 06477-3506
Phone
(203) 874-3682
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5277 CT Primary

Addresses

Primary practice location

521 Boston Post Rd
Orange, CT 06477-3506

Mailing address

521 Boston Post Rd
Orange, CT 06477-3506
Phone (203) 874-3682

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
I20211015001922 CT Practitioner - Physician Assistant 8224436621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

780 Litchfield St
Torrington, CT 06790-6268
Phone (860) 482-8578

Hospital & facility affiliations

  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5277CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Straun Health & Wellness Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mikaela.perrellil@xdr.hhchealthdirect.org
  • FHIR API: https://api.platform.athenahealth.com/23172/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mikaela.perrelli.1@23172.direct.athenahealth.com
  • Direct secure messaging: mikaela.perrelli.1@10170.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1992376503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773506",
            "telephone_number": "203-874-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773506",
            "telephone_number": "203-874-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRELLI",
        "first_name": "MIKAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.