Active NPI
Chena Angela McPherson, APRN
- Acute Care Nurse Practitioner
- Bloomfield, CT
National Provider Identifier
1083178446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 008031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D400831863 | Medicaid | CT |
Other names 1
- Chena Angela McPherson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008031 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health P.C. | Current | 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
- 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.
-
- Nurse Practitioner
- Orange, CT
- NPI 1730694316
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.