Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174931687 Individual Practitioner Female Practitioner

Melissa Bohan-Hallenbeck , APRN

Nurse Practitioner • Willimantic, CT

Professional Overview & Biography Verified Profile Summary

Melissa Bohan-Hallenbeck, APRN is a registered healthcare professional specializing in Nurse Practitioner in Willimantic, CT. Practice services are available at 112 MANSFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 Mansfield Ave

Willimantic, CT 062262045

Telephone 8604566965
Fax 8604566969
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Willimantic, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Willimantic, CT (941 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CT 5798

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MA RN2311497

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bethany Kennedy , APRN

Nurse Practitioner - Acute Care

NPI 1003301136

Advanced Practice Registered Nurse

Dr. Marlene Schwartz , MD

Internal Medicine - Pulmonary Disease

NPI 1003892829

Doctor of Medicine (M.D.)

Lori Bernier , LCSW

Social Worker - Clinical

NPI 1033744289

Licensed Clinical Social Worker

NPI 1033771126

Doctor of Medicine (M.D.)

Dr. Samer Morcos , MD

Internal Medicine - Pulmonary Disease

NPI 1043277890

Doctor of Medicine (M.D.)

NPI 1043842982

DNPCNM

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2018

Registered at 112 MANSFIELD AVE, WILLIMANTIC, CT 062262045 (Tel: 8604566965)

📍
Updated Business Mailing Address January 15, 2018

Registered at 5 CHARLES ST, PUTNAM, CT 062602003 (Tel: 8604208150)

👤
Provider Name / Credentials Updated January 15, 2018

Recorded as MELISSA BOHAN-HALLENBECK, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Nurse Practitioner (License #5798 in CT)

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2016

Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083345979)

📍
Updated Business Mailing Address November 16, 2016

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤
Provider Name / Credentials Updated November 16, 2016

Recorded as MELISSA BOHAN-HALLENBECK, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Nurse Practitioner (License #RN2311497 in MA)

🟢
Initial NPI Registration & Enumeration July 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174931687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2014
Last Update: January 15, 2018
Sole Proprietor: No

Mailing Address

5 Charles St

Putnam, CT 062602003

Phone: 8604208150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.