Individual provider Active NPI

Ingrid Teixeira Furchi

  • Family Nurse Practitioner
  • Meriden, CT
National Provider Identifier
1215512264
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9550 Issued in CT
Practice address
816 Broad St
Meriden, CT 06450-4350
Phone
(203) 238-1125
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9550 CT Primary

Addresses

Primary practice location

816 Broad St
Meriden, CT 06450-4350

Mailing address

2910 Nichols Ave
Trumbull, CT 06611-5325

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
I20210519000078 CT Practitioner - Nurse Practitioner 2365841699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians

Practice addresses (Care Compare)

240 Indian River Rd
Suite C
Orange, CT 06477-3649
Phone (203) 497-3861

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health P.C. Family CurrentSince Mar 1, 2025 Accepting new patients
Prohealth Physicians PC Family CurrentSince May 1, 2021 Accepting new patients
Prohealth Physicians, Inc. Family PastSince May 1, 2021 Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

816 Broad St
Meriden, CT 06450
Phone (203) 238-1334

816 Broad St
Ste 24
Meriden, CT 06450
Phone (203) 238-1919

816 Broad St
Ste 29
Meriden, CT 06450
Phone (203) 238-1125

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: ingrid.furchi.npi1215512264.phpct@direct.optumcare.masshiway.net

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 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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1215512264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 NICHOLS AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504350",
            "telephone_number": "203-238-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURCHI",
        "first_name": "INGRID",
        "middle_name": "TEIXEIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.