Individual provider Active NPI

Nicole Sabena Feagin, PA-C

  • Physician Assistant
  • Westport, CT
National Provider Identifier
1235514464
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3433 Issued in CT
Practice address
735 Post Rd E Ste 2
Westport, CT 06880-5240
Phone
(203) 451-4497
Fax
(833) 701-9227
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3433 CT Primary

Addresses

Primary practice location

735 Post Rd E Ste 2
Westport, CT 06880-5240

Mailing address

735 Post Rd E Ste 2
Westport, CT 06880-5240
Phone (203) 451-4497

Other practice location 1

1 Hospital Plz
Stamford, CT 06902-3602
Phone (203) 276-1000

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
I20160516001550 CT Practitioner - Physician Assistant 3375832223 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Health Care Inc CurrentSince Oct 7, 2017 Accepting new patients
State of Connecticut CurrentSince Mar 10, 2018 Accepting new patients

Locations

982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

Interoperability endpoints

  • Direct secure messaging: nfeagin24420@stamfordhealth.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1235514464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 POST RD E STE 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805240",
            "telephone_number": "203-451-4497",
            "fax_number": "833-701-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 POST RD E STE 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805240",
            "telephone_number": "203-451-4497",
            "fax_number": "833-701-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069023602",
            "country_code": "US",
            "telephone_number": "203-276-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEAGIN",
        "first_name": "NICOLE",
        "middle_name": "SABENA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.