Individual provider Active NPI

Sarah Louise Tyler, APRN

  • Family Nurse Practitioner
  • Colchester, CT
National Provider Identifier
1003241100
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005499 Issued in CT
Practice address
119 Broadway St
Colchester, CT 06415-1022
Phone
(860) 537-9901
NPI assigned
Sep 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 005499 CT Primary

Addresses

Primary practice location

119 Broadway St
Colchester, CT 06415-1022

Mailing address

324 Flanders Rd
East Lyme, CT 06333-1735

Other identifiers 6

IdentifierTypeStateIssuer
008039745OtherCTPCS MEDICAID (BPT)
008056867OtherCTHOAGLAND MEDICAID #
008056033OtherCTPCS MEDICAID CONGRESS
008056168OtherCTMEDICAID 352 STATE STREET
WEAZY13OtherCTHOAGLAND SARAH APRN MEDICARE
004217099OtherCTPCS MEDICAID LW

Other names 1

  • Ms. Sarah Louise Hoagland Former name

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
I20150210001509 CT Practitioner - Nurse Practitioner 2567787740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

119 Broadway St
Colchester, CT 06415-1022
Phone (860) 537-9901

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family CurrentSince Sep 9, 2024 Accepting new patients

Locations

119 Broadway St
Colchester, CT 06415
Phone (860) 537-9901

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: styler@landmarkhealth-direct.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1003241100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "SARAH",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCS MEDICAID (BPT)",
            "identifier": "008039745",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOAGLAND MEDICAID #",
            "identifier": "008056867",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCS MEDICAID  CONGRESS",
            "identifier": "008056033",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID 352 STATE STREET",
            "identifier": "008056168",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOAGLAND SARAH APRN  MEDICARE",
            "identifier": "WEAZY13",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCS MEDICAID LW",
            "identifier": "004217099",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HOAGLAND",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colchester, CT

Sources for this page

Verify at the official NPI Registry.