Individual provider Active NPI

Chena Angela McPherson, APRN

  • Acute Care Nurse Practitioner
  • Bloomfield, CT
National Provider Identifier
1083178446
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
008031 Issued in CT
Practice address
1 Regency Dr Ste 309
Bloomfield, CT 06002-2310
Phone
(860) 836-2383
Fax
(860) 206-5499
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 008031 CT Primary

Addresses

Primary practice location

1 Regency Dr Ste 309
Bloomfield, CT 06002-2310

Mailing address

994 Overhill Dr
Suffield, CT 06078-1940
Phone (860) 212-2896

Other identifiers 1

IdentifierTypeStateIssuer
D400831863MedicaidCT

Other names 1

  • Chena Angela McPherson Professional 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
I20220308000259 CT Practitioner - Nurse Practitioner 9436488020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008031CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health P.C. CurrentSince Dec 24, 2025 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: chena.mcpherson.1@14940.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1083178446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 OVERHILL DR",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060781940",
            "telephone_number": "860-212-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REGENCY DR STE 309",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022310",
            "telephone_number": "860-836-2383",
            "fax_number": "860-206-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "CHENA",
        "middle_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "008031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D400831863",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHENA",
            "last_name": "MCPHERSON",
            "middle_name": "ANGELA",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.