Individual provider Active NPI

Patrick D Flanigan, FNP-C

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1083245393
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
001826 Issued in SD
Practice address
1180 Newfield Ave
Stamford, CT 06905-1409
Phone
(314) 888-5233
Fax
(203) 590-8644
NPI assigned
Jan 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 001826 SD Primary

Addresses

Primary practice location

1180 Newfield Ave
Stamford, CT 06905-1409

Mailing address

433 E Fairlane Dr Apt 11B
Rapid City, SD 57701-7246
Phone (605) 569-1012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20210112002807 SD Practitioner - Nurse Practitioner 9133557572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Catholic Doctor PLLCGroup PAC ID 7214367101, 25 clinicians

Practice addresses (Care Compare)

1899 Eisenhower Cir
Aberdeen, SD 57401-7456
Phone (314) 888-5233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001826SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc Current Accepting new patients
Horizon Health Care Inc CurrentSince Dec 14, 2020 Accepting new patients
Careconnectmd South Dakota PC CurrentSince May 1, 2024 Accepting new patients
Horizon Health Care Inc CurrentSince Dec 14, 2020 Accepting new patients
Horizon Health Care Inc PastSince Dec 14, 2020 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 6

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1083245393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E FAIRLANE DR APT 11B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017246",
            "telephone_number": "605-569-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051409",
            "telephone_number": "314-888-5233",
            "fax_number": "203-590-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANIGAN",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "001826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.