Individual provider Active NPI

Laura Rydelek Fitzgerald, N.P.

  • Adult Health Nurse Practitioner
  • Old Saybrook, CT
National Provider Identifier
1134553704
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
005446 Issued in CT
Practice address
60 Boston Post Rd
Old Saybrook, CT 06475-1503
Phone
(734) 732-7898
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 005446 CT Primary

Addresses

Primary practice location

60 Boston Post Rd
Old Saybrook, CT 06475-1503

Mailing address

35 Plum HL
East Lyme, CT 06333-1465
Phone (734) 732-7898

Other practice location 1

1145 Poquonnock Rd
Groton, CT 06340-4620
Phone (734) 732-7898

Other names 1

  • Laura Terise Fitzgerald Former 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
I20140114000407 CT Practitioner - Nurse Practitioner 6608004924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

25 Lorraine St
Hartford, CT 06105-2242
Phone (718) 298-4375

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score
87.14 of 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005446CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

1145 Poquonnock Rd
Groton, CT 06340
Phone (860) 446-3134

25 Lorraine St
Hartford, CT 06105
Phone (860) 233-8241

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • Direct secure messaging: lfitzgerald@img.gwaydirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1134553704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PLUM HL",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331465",
            "telephone_number": "734-732-7898",
            "fax_number": "860-397-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751503",
            "telephone_number": "734-732-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Poquonnock Rd",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063404620",
            "country_code": "US",
            "telephone_number": "734-732-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "LAURA",
        "middle_name": "RYDELEK",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "005446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "FITZGERALD",
            "middle_name": "TERISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.