Individual provider Active NPI

Laura K Degeorge, APRN, NP-C

  • Family Nurse Practitioner
  • Trumbull, CT
National Provider Identifier
1003123985
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
004467 Issued in CT
Practice address
115 Technology Dr
Trumbull, CT 06611-6337
Phone
(203) 445-7093
Fax
(203) 638-7981
NPI assigned
Sep 13, 2010
Last updated
May 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004467 CT Primary

Addresses

Primary practice location

115 Technology Dr
Trumbull, CT 06611-6337

Mailing address

124 Cedar LN
Beacon Falls, CT 06403-1214
Phone (203) 228-6412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000562 CT Practitioner - Nurse Practitioner 2163603556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

130 Division St
Derby, CT 06418-1326
Phone (203) 648-4779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
004467CTMDOccupational Therapist
4467CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 5, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 5, 2020 Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

130 Division St
Fl 1
Derby, CT 06418
Phone (203) 732-1257

220 Main St
Ste 2C
Oxford, CT 06478

30 Quaker Farms Rd
Southbury, CT 06488
Phone (203) 262-8430

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

115 Technology Dr
Unit C300
Trumbull, CT 06611
Phone (203) 445-7093

Interoperability endpoints

  • Direct secure messaging: laurak.degeorge@xdr.hhchealthdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1003123985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CEDAR LN",
            "city": "BEACON FALLS",
            "state": "CT",
            "postal_code": "064031214",
            "telephone_number": "203-228-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116337",
            "telephone_number": "203-445-7093",
            "fax_number": "203-638-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEORGE",
        "first_name": "LAURA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.