Individual provider Active NPI

Debra Anne Gage, APRN

  • Nurse Practitioner
  • Avon, CT
National Provider Identifier
1053626523
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
004135 Issued in CT
Practice address
80 Fisher Drive
Hartford Hospital Cancer Center
Avon, CT 06001
Phone
(860) 674-0088
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 004135 CT Primary

Addresses

Primary practice location

80 Fisher Drive
Hartford Hospital Cancer Center
Avon, CT 06001

Mailing address

80 Seymour Stret
Hartford Hospital Cancer Center
Hartford, CT 06102-5037
Phone (869) 674-0088

Other practice location 1

80 Fisher Drive
Hartford Hospital Cancer Center
Avon, CT 06001
Phone (860) 674-0088

Other practice location 2

80 Seymour Street
Hartford Hospital Cancer Center
Hartford, CT 06102
Phone (860) 674-0088

Other practice location 3

85 Seymour Street
Hartford Hospital Cancer Center
Hartford, CT 06106
Phone (860) 674-0088

Other practice location 4

85 Retreat Avenue
Hartford Hospital Cancer Center
Hartford, CT 06106
Phone (860) 674-0088

Other practice location 5

376 Tolland Turnpike
Hartford Hospital Cancer Center
Manchester, CT 06042
Phone (860) 674-0088

Other names 1

  • Debra Anne McDermott 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
I20101029000203 CT Practitioner - Nurse Practitioner 4183818644 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
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)

339 W Main St
Avon, CT 06001-4322
Phone (860) 524-3058

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4135CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Sep 17, 2018 Accepting new patients
Hartford Hospital CurrentSince Sep 17, 2018 Accepting new patients
Hartford Hospital CurrentSince Sep 17, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Jul 10, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 10, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Sep 13, 2010 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 13, 2010 Accepting new patients

Locations

80 Fisher Dr
Avon, CT 06001
Phone (855) 255-6181

339 W Main St
Avon, CT 06001
Phone (860) 696-2150

85 Retreat Ave
Hartford, CT 06106
Phone (860) 249-6291

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

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

220 Kennedy Dr
Ste 2
Torrington, CT 06790
Phone (860) 496-4190

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: debbie.mcdermott@xdr.hhchealthdirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1053626523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STRET",
            "address_2": "HARTFORD HOSPITAL CANCER CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "869-674-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FISHER DRIVE",
            "address_2": "HARTFORD HOSPITAL CANCER CENTER",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-674-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Fisher Drive",
            "address_2": "Hartford Hospital Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "06001",
            "country_code": "US",
            "telephone_number": "860-674-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Seymour Street",
            "address_2": "Hartford Hospital Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06102",
            "country_code": "US",
            "telephone_number": "860-674-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Seymour Street",
            "address_2": "Hartford Hospital Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06106",
            "country_code": "US",
            "telephone_number": "860-674-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Retreat Avenue",
            "address_2": "Hartford Hospital Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06106",
            "country_code": "US",
            "telephone_number": "860-674-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "376 Tolland Turnpike",
            "address_2": "Hartford Hospital Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "06042",
            "country_code": "US",
            "telephone_number": "860-674-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGE",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MCDERMOTT",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.