HOPE MEDICAL CARE LLC
NPI 1780369504
Clinic/Center - Primary Care in Moosup, CT

Active since June 19, 2023CLIA 07D2310431 · Waiver

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2024, Sep 11, 2024, Jun 19, 2023 (3 updates tracked since 2023).

About Hope Medical Care Llc NPPES

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

HOPE MEDICAL CARE LLC (NPI 1780369504) is a healthcare organization registered as a primary care in Moosup, Connecticut and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through September 3, 2028 and lists Susie Bernado, Aprn, as its authorized official.

NPPES Registry Identity

NPI1780369504
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHOPE MEDICAL CARE LLC
Location Address11 MAIN STMoosup, CT 06354-1524
Mailing Address11 Main StMoosup, CT 06354-1524 · (401) 338-0673
Organization SubpartNo
Authorized OfficialSusie BernadoAprn · (401) 338-0673
Enumeration DateJune 19, 2023
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1780369504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
11 MAIN ST, Moosup, CT 06354

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hope Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hope Medical Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1295244135
40 MANSFIELD AVE
Willimantic, CT 06226
(860) 450-7471
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1114924172
1060 DAY HILL RD STE 203
Windsor, CT 06095
(860) 696-2450
✔ PECOS✔ Accepts Medicare44 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2310431

Hope Medical Care · Moosup, CT
Active · expires Sep 3, 2028
CLIA Number07D2310431
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorSusie Bernado
Laboratory Phone(959) 600-8104
Laboratory LocationHope Medical Care11 Main Street, Moosup, CT 06354
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Hope Medical Care LLC's NPI number?

The NPI number for Hope Medical Care LLC is 1780369504. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Hope Medical Care LLC located?

Hope Medical Care LLC is located at 11 Main St, Moosup, CT 06354. The listed phone number is (401) 338-0673.

What is Hope Medical Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Hope Medical Care LLC enrolled in Medicare?

Yes. Hope Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hope Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hope Medical Care LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hope Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2310431) is associated with this NPI, valid through September 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hope Medical Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Hope Medical Care LLC 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 Hope Medical Care LLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.