Katherine N Bunger, APRN
Individual provider Active NPI Nurse Practitioner · Derby, CT
NPI 1164526646 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1164526646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2954 (CT)
- Practice address
- 130 Division St FL 1
Derby, CT 06418-1326 - Phone
- (203) 732-1257
- Fax
- (203) 732-2470
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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 |
|---|---|---|---|---|
| I20040402000058 | CT | Practitioner - Nurse Practitioner | 4385636992 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danbury Hospital | Current |
Accepting new patients | |
| Danbury Hospital | Current |
Accepting new patients | |
| Griffin Faculty Physicians, Inc. | Adult Health | Current |
Accepting new patients |
| Masonicare Primary Care Physicians | Current |
Accepting new patients | |
| Masonicare Behavioral Health, LLC | Current |
Accepting new patients | |
| Cardiology Associates of Fairfield County PC | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820
111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010
111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131
130 Division St
Derby, CT 06418
Phone (203) 732-1330
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
130 Division St
Fl 1
Derby, CT 06418
Phone (203) 732-1257
67 Masonic Ave
Fl 1
Wallingford, CT 06492
Phone (203) 265-0355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 002954 | CT | |
| Nurse Practitioner | 363L00000X | 2954 | CT | Yes |
Addresses
Primary practice location
130 Division St FL 1
Derby, CT 06418-1326
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Other names
- Katherine N Netzer
Other providers in Derby, CT
- Susan J Braun
- Jacqueline Braunworth
- Virginia Breeden
- Frederick A Browne
- Jacquelyn L Browne
- Thommy Josue Bustillo
- Laura Butler
- Diana Bytyqi
- Wilfredo Cadelina
- Scott B Callahan
All providers in Derby, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.