Clara Gwen Kowalsky, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9927 Issued in CT

Practice address

210 New London Tpke
Glastonbury, CT 06033-2235

Phone

(860) 633-1543

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Glastonbury LLCGroup PAC ID 2769373372, 5 clinicians

Dermatology Associates of Eastern CT LLCGroup PAC ID 8628020757, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dermatology Associates of Eastern CT LLC

  • Dermatology Physician
  • Glastonbury, CT
  • NPI 1952481418
  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Glastonbury LLC

  • Dermatology Physician
  • Glastonbury, CT
  • NPI 1730175845
  Medicare reassignment Care Compare group NPD
• Antero Urgent Care LLC

  • Urgent Care Clinic/Center
  • Ashford, CT
  • NPI 1730790858
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1194492694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NEW LONDON TPKE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332235",
            "telephone_number": "860-633-1543",
            "fax_number": "860-633-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NEW LONDON TPKE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332235",
            "telephone_number": "860-633-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKY",
        "first_name": "CLARA",
        "middle_name": "GWEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Koliani-Pace, M.D.
• Gina Kolstad, APRN
• William Koo
• Debra Kovacs, DOM, LICAC, RN
• Julia Kowal, OTR/L
• Darci Deanna Koziel, PHARM. D.
• Kristina Flemming Aprn PLLC
• Herman C Kruse, ATC, LAT
• Hillary Stover Krystiniak, BCBA
• Lorraine T Kulesa, APRN

• Family Nurse Practitioner in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.