MELANE NINONUEVO
NPI 1417504846
Nurse Practitioner - Gerontology in Rocky Hill, CT
About Melane Ninonuevo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANE NINONUEVO (NPI 1417504846) is an individual gerontology provider in Rocky Hill, Connecticut, licensed in Connecticut (AG07190093) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melane Ninonuevo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melane Ninonuevo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ROCKY HILL, CT 06067
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 Melane Ninonuevo's NPI number?
The NPI number for Melane Ninonuevo is 1417504846. It was assigned to this individual provider in the NPPES registry on August 21, 2019.
Where is Melane Ninonuevo located?
Melane Ninonuevo practices at 400 Capital Blvd, Rocky Hill, CT 06067. The listed phone number is (860) 221-0255.
What is Melane Ninonuevo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Melane Ninonuevo enrolled in Medicare?
Yes. Melane Ninonuevo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melane Ninonuevo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melane Ninonuevo reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). The 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 Melane Ninonuevo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melane Ninonuevo was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Melane Ninonuevo · NPI 1417504846
Gerontology physician in Rocky Hill, Connecticut. Individual provider, active in the CMS NPPES registry since August 21, 2019.
## Identity
- **NPI:** 1417504846 (Entity type: Individual)
- **Enumerated:** August 21, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AG07190093 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 CAPITAL BLVD, Rocky Hill, CT 06067-3576
- **Phone:** (860) 221-0255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417504846) · Data from the CMS NPPES public registry.