Individual provider Active NPI

Sarah Musumano Phillips, NP

  • Family Nurse Practitioner
  • Storrs, CT
National Provider Identifier
1063994812
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7781 Issued in CT
Practice address
302 Codfish Falls Rd
Storrs, CT 06268-1405
Phone
(860) 338-1648
NPI assigned
Aug 29, 2018
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 7781 CT Primary

Addresses

Primary practice location

302 Codfish Falls Rd
Storrs, CT 06268-1405

Mailing address

302 Codfish Falls Rd
Storrs, CT 06268-1405
Phone (860) 338-1648

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
I20181025001063 CT Practitioner - Nurse Practitioner 7416200266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

240 Indian River Rd
Suite C
Orange, CT 06477-3649
Phone (203) 497-3861

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
62.23
Improvement activities
40
Cost
81.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7781CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC Current Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Mar 4, 2019 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jun 12, 2024 Accepting new patients
Impact Health P.C. Family CurrentSince Apr 3, 2024 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1063994812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CODFISH FALLS RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681405",
            "telephone_number": "860-338-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CODFISH FALLS RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681405",
            "telephone_number": "860-338-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SARAH",
        "middle_name": "MUSUMANO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs, CT

Sources for this page

Verify at the official NPI Registry.