Stephanie Behrens, PA
Individual provider Active NPI Physician Assistant · Farmington, CT
NPI 1104002849 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1104002849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3250 (CT)
- Practice address
- 21 South Rd Ste 110
Farmington, CT 06032-2482 - Phone
- (860) 284-4945
- Fax
- (860) 284-4946
- NPI assigned
- Jan 11, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Connecticut
Practice addresses (Care Compare)
120 Dowling Way
Uconn Health Ancillary SVCS
Farmington, CT 06030-3800
Phone (860) 679-2784
135 Dowling Way
Farmington, CT 06030-3800
Phone (860) 679-2784
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000
Hospital & facility affiliations
- John Dempsey Hospital of the University of Connect
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160413001153 | CT | Practitioner - Physician Assistant | 9739318163 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0000601 | DE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Urgent Care Center of Connecticut, LLC | Current | Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients |
Locations
699A Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-0034
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C5-0000601 | DE | |
| Physician Assistant | 363A00000X | 3250 | CT | Yes |
Addresses
Primary practice location
21 South Rd Ste 110
Farmington, CT 06032-2482
Mailing address
160 Windermere Ave Apt 3501
Ellington, CT 06029-3938
Phone (302) 359-9892
Other practice location 1
1342 S Governors Ave
Dover, DE 19904-4804
Phone (302) 734-2500
Other names
- Stephanie Messick
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbehrens38082@direct.med.uchc.edu |
Other providers in Farmington, CT
- Amanda Begin
- Danielle Bryanna Begin
- Zakiya Begum
- Behavioral and Cognitive Treatment Associates, LLC
- Kristiana Beho
- Jaclyn Beirne
- Stephanie C Belanger
- Michael Belgrave
- Richard C Bell
- Ryan Bell
All providers in Farmington, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.