Vivid Aesthetics & Wellness PLLC
NPI 1861260671 · Family Medicine Physician · Cromwell, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vivid Aesthetics & Wellness PLLC is a Family Medicine Physician organization in Cromwell, CT (NPI 1861260671).
Provider details
- NPI number
- 1861260671
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Selma Rosa, Nurse Practioner(860) 250-9017
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 117 Dowd StNewington, CT 06111-2608Phone: (860) 250-9017
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Frequently asked questions
- What is Vivid Aesthetics & Wellness PLLC's NPI number?
- Vivid Aesthetics & Wellness PLLC's National Provider Identifier (NPI) is 1861260671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vivid Aesthetics & Wellness PLLC?
- Vivid Aesthetics & Wellness PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vivid Aesthetics & Wellness PLLC located?
- Vivid Aesthetics & Wellness PLLC's practice location on file with NPPES is 110 Court St, Cromwell, CT 06416-1273.
- What is Vivid Aesthetics & Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vivid Aesthetics & Wellness PLLC is (860) 250-9017.
- Does Vivid Aesthetics & Wellness PLLC accept Medicare?
- Vivid Aesthetics & Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vivid Aesthetics & Wellness PLLC?
- The authorized official listed on Vivid Aesthetics & Wellness PLLC's NPPES record is Selma Rosa, Nurse Practioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vivid Aesthetics & Wellness PLLC's NPI active?
- Yes — Vivid Aesthetics & Wellness PLLC's NPI (1861260671) is active in the NPPES registry as of the last update on 2024-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.