Individual provider Active NPI

Kathleen Obuchon, APRN

  • Adult Health Nurse Practitioner
  • Bristol, CT
National Provider Identifier
1245539873
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
003228 Issued in CT
Practice address
1251 Farmington Avenue
Bristol, CT 06010
Phone
(860) 584-4535
Fax
(860) 584-4535
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 003228 CT Primary

Addresses

Primary practice location

1251 Farmington Avenue
Bristol, CT 06010

Mailing address

120 W Main St
Plainville, CT 06062-1944
Phone (860) 747-0411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kobuchon10922@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110630000342 CT Practitioner - Nurse Practitioner 3476731076 Reassigns benefits to 3 organizations
I20241002001175 MA Practitioner - Nurse Practitioner 3476731076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

30 Loeffler Rd
Bloomfield, CT 06002-2256
Phone (860) 380-5150

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159
  • Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264
  • Masonicare Home Health and Hospice Inc Hospice, Wallingford, CT, CCN 071516

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3228CTMDMental Health Counselor
003228CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 16, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

30 Loeffler Rd
Bloomfield, CT 06002
Phone (860) 380-5150

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kobuchon@landmarkhealth-direct.org
  • Direct secure messaging: kathleen.obuchon@xdr.hhchealthdirect.org
  • Direct secure messaging: kobuchon10922@direct.med.uchc.edu

Organizations & group practices 5

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 4

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1245539873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621944",
            "telephone_number": "860-747-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 FARMINGTON AVENUE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-584-4535",
            "fax_number": "860-584-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBUCHON",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kobuchon10922@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.