Active NPI
Daniel G Mussen, PA-C
- Physician Assistant
- Glastonbury, CT
National Provider Identifier
1114939485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000002
- Practice address
- 320 Western Blvd.
Glastonbury, CT 06033-1053 - Phone
- (860) 568-9180
- Fax
- (860) 633-1793
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000002 | CT | Primary |
Addresses
Primary practice location
320 Western Blvd.
Glastonbury, CT 06033-1053
Mailing address
4 Farm Springs Rd
Prohealth Physicians
Farmington, CT 06032-2573
Phone (860) 284-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000002 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Care Medical Group, PC | Past | Accepting new patients | |
| Collins Medical Associates 2 PC | Physician Assistant | Past | Accepting new patients |
| Prohealth Physicians, Inc. | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- daniel.mussen.npi1114939485.phpct@direct.optumcare.masshiway.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1912928169
Physician Assistant
-
- Family Medicine Physician
- Farmington, CT
- NPI 1003996463
Physician Assistant
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1508172545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1114939485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FARM SPRINGS RD",
"address_2": "PROHEALTH PHYSICIANS",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322573",
"telephone_number": "860-284-5200",
"fax_number": "860-284-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WESTERN BLVD.",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331053",
"telephone_number": "860-568-9180",
"fax_number": "860-633-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSEN",
"first_name": "DANIEL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.