Judilynn Ferlow, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Kent, CT
NPI 1013765049 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1013765049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 13058 (CT)
- Practice address
- 64 Maple St Ste a
Kent, CT 06757-1721 - Phone
- (860) 419-5925
- NPI assigned
- May 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mobile Care Partners of Connecticut PLLC
Practice addresses (Care Compare)
64 Maple St
Kent, CT 06757-1721
Phone (860) 419-5925
Hospital & facility affiliations
- Sharon Hospital
- Danbury Hospital
- Charlotte Hungerford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717004682 | CT | Practitioner - Nurse Practitioner | 5597200287 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16144 | CT | MD | Basic Emergency Medical Technician |
| 144242 | CT | MD | Registered Nurse |
| RN84461 | ME | MD | Registered Nurse |
| 13058 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Care Partners of Connecticut PLLC | Current |
Accepting new patients |
Locations
64 Maple St
Ste A
Kent, CT 06757
Phone (860) 419-5925
64 Maple St
Kent, CT 06757
Phone (860) 419-5925
Interoperability endpoints
- https://api.platform.athenahealth.com/21553/brand/1/csg/1/fhir/r4
- judilynn.ferlow.1@21553.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 16144 | CT | |
| Registered Nurse | 163W00000X | 144242 | CT | |
| Registered Nurse | 163W00000X | RN84461 | ME | |
| Family Nurse Practitioner | 363LF0000X | 13058 | CT | Yes |
Addresses
Primary practice location
64 Maple St Ste a
Kent, CT 06757-1721
Mailing address
69 Hilltop View Rd
New Milford, CT 06776-4223
Phone (203) 770-9670
Other providers in Kent, CT
- Douglas a. Finch, MD, LLC
- Janet Buch Downes
- E Ruth Greenberg LPC LLC
- Bernadette O'Brien Ellegard
- Richard G. Erskine
- Douglas A Finch
- Lucille France
- Karren J Garrity
- Michele Lynn Gervase
- Michael Hanrahan
All providers in Kent, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.