Active NPI
Amy Beth Weldon-Beardslee, NP
- Family Nurse Practitioner
- Old Lyme, CT
National Provider Identifier
1215217203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8208
- Practice address
- 19 Halls Rd
Old Lyme, CT 06371-1457 - Phone
- (860) 434-8300
- Fax
- (860) 865-2388
- NPI assigned
- Aug 22, 2011
- Last updated
- May 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN271997 | MA | |
| Family Nurse Practitioner | 363LF0000X | 8208 | CT | Primary |
Addresses
Primary practice location
19 Halls Rd
Old Lyme, CT 06371-1457
Mailing address
19 Halls Rd
Old Lyme, CT 06371-1457
Phone (860) 434-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN271997 | Other | MA | DPH RN/NP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Halls Rd
Old Lyme, CT 06371-1457
Phone (860) 434-8300
Hospital & facility affiliations
- Yale New Haven Health - Health at Home Southeast
- Visiting Nurses of the Lower V
- Lawrence & Memorial Hospital
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8208 | CT | MD | Clinical Social Worker |
| RN271997 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Bridgewater Goddard Park Medical Associates, Inc. | Past | Accepting new patients |
Locations
19 Halls Rd
Old Lyme, CT 06371
Phone (860) 434-2509
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- aweldon447756@direct.ynhh.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Hospitalist Physician
- Greenwich, CT
- NPI 1881607232
-
dba Signature Medical Group
- Multi-Specialty Clinic/Center
- Brockton, MA
- NPI 1417932591
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- Home Health Agency
- Waterford, CT
- NPI 1265490940
-
- Home Health Agency
- Centerbrook, CT
- NPI 1508872151
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1215217203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HALLS RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711457",
"telephone_number": "860-434-8300",
"fax_number": "860-865-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HALLS RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711457",
"telephone_number": "860-434-8300",
"fax_number": "860-865-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON-BEARDSLEE",
"first_name": "AMY",
"middle_name": "BETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN271997",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "8208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPH RN/NP",
"identifier": "RN271997",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.