MISS MARVELLE LISANDRA LINDO APRN
NPI 1639427735
Nurse Practitioner - Family in Tolland, CT
About Miss Marvelle Lisandra Lindo Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MARVELLE LISANDRA LINDO APRN (NPI 1639427735) is an individual family provider in Tolland, Connecticut, licensed in Connecticut (005088) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glastonbury.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Marvelle Lisandra Lindo Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marvelle Lindo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 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 06084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOLLAND, CT 06084
TOLLAND, CT 06084
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 Marvelle Lindo's NPI number?
The NPI number for Marvelle Lindo is 1639427735. It was assigned to this individual provider in the NPPES registry on August 21, 2012.
Where is Marvelle Lindo located?
Marvelle Lindo practices at 26 Shenipsit Lake Rd, Tolland, CT 06084. The listed phone number is (860) 872-2999.
What is Marvelle Lindo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marvelle Lindo enrolled in Medicare?
Yes. Marvelle Lindo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marvelle Lindo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marvelle Lindo reassigns Medicare benefits to Prospect Ct Medical Foundation, Inc. (Manchester, 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 Marvelle Lindo'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 Marvelle Lindo was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miss Marvelle Lisandra Lindo, APRN · NPI 1639427735
Family physician in Tolland, Connecticut. Individual provider, active in the CMS NPPES registry since August 21, 2012.
## Identity
- **NPI:** 1639427735 (Entity type: Individual)
- **Enumerated:** August 21, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 005088 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 26 SHENIPSIT LAKE RD, Tolland, CT 06084-2332
- **Phone:** (860) 872-2999
## 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:** Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2021
- **Other identifiers:** Medicaid 1639427735 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1639427735) · Data from the CMS NPPES public registry.