HALIE MARTINELLI APRN
NPI 1265150965
Nurse Practitioner - Family in Middletown, CT

Active since August 18, 2022PECOS Enrolled
75/100
CMS Quality Rating
101 CENTERPOINT DR STE 215, MIDDLETOWN, CT 06457(888) 964-6681(888) 662-0859 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Halie Martinelli Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALIE MARTINELLI APRN (NPI 1265150965) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (124347) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265150965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALIE MARTINELLICredential: APRN
Location Address101 CENTERPOINT DR STE 215Middletown, CT 06457-7568
Mailing Address100 Crossing Blvd Ste 300Framingham, MA 01702-5555 · (617) 964-6681 · Fax (888) 662-0859
Fax(888) 662-0859
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2022
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1265150965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 124347
101 CENTERPOINT DR STE 215, Middletown, CT 06457

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Halie Martinelli Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274909197
PECOS Enrollment IDI20221018002755
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Halie Martinelli reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
317 FOXON ROAD 2B
East Haven, CT 06513
  • Reassigned Medicare billing, Connecticut enrollment
  • 31 clinicians in this Medicare group
Nurse Practitioner
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • 41 clinicians in this Medicare group
Nurse Practitioner
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Impact Health PC
  • 129 clinicians in this Medicare group
Geriatric Medicine
1266 E MAIN ST
Stamford, CT 06902
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Careconnectmd Connecticut P.C.
  • 168 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
107 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
20 services20 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457
Podiatrist
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457
Prosthetic/Orthotic Supplier
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457
Audiologist
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457
Audiologist-Hearing Aid Fitter
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457
Dental Hygienist
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457
Audiologist
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
101 CENTERPOINT DR STE 215
MIDDLETOWN, CT 06457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Halie Martinelli's NPI number?

The NPI number for Halie Martinelli is 1265150965. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Halie Martinelli located?

Halie Martinelli practices at 101 Centerpoint Dr Ste 215, Middletown, CT 06457. The listed phone number is (888) 964-6681.

What is Halie Martinelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Halie Martinelli enrolled in Medicare?

Yes. Halie Martinelli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Halie Martinelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Halie Martinelli reassigns Medicare benefits to 4 organizations: Docs Medical Inc (East Haven, CT), Impact Health Aco PC (Orange, CT), Impact Health P.C. (Orange, CT) and Careconnectmd Connecticut PC (Stamford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Halie Martinelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Halie Martinelli accept?

Health plans from Anthem Blue Cross and Blue Shield list Halie Martinelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Halie Martinelli was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.