Active NPI
Karen Janet Terwilliger, MS, APRN, AGPCNP-BC
- Gerontology Nurse Practitioner
- Mystic, CT
National Provider Identifier
1245616705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 6220
- Practice address
- 3 Heron Rd
Mystic, CT 06355-3253 - Phone
- (401) 497-6799
- NPI assigned
- Aug 7, 2015
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 6220 | CT | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 6220 | CT |
Addresses
Primary practice location
3 Heron Rd
Mystic, CT 06355-3253
Mailing address
23 Old Voluntown Rd
Griswold, CT 06351-8828
Phone (401) 497-6799
Other practice location 1
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-6965
Other practice location 2
111 Salem Tpke
Norwich, CT 06360-7403
Phone (860) 425-8700
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 66.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Care Connecticut PLLC | Current | Accepting new patients |
Locations
930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
Organizations & group practices 1
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.
-
- General Practice Physician
- Southport, CT
- NPI 1649778762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1245616705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 OLD VOLUNTOWN RD",
"city": "GRISWOLD",
"state": "CT",
"postal_code": "063518828",
"telephone_number": "401-497-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HERON RD",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063553253",
"telephone_number": "401-497-6799"
}
],
"practiceLocations": [
{
"address_1": "112 Mansfield Ave",
"address_purpose": "LOCATION",
"city": "Willimantic",
"state": "CT",
"postal_code": "062262045",
"country_code": "US",
"telephone_number": "860-456-6965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Salem Tpke",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063607403",
"country_code": "US",
"telephone_number": "860-425-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERWILLIGER",
"first_name": "KAREN",
"middle_name": "JANET",
"name_prefix": "Mrs.",
"credential": "MS, APRN, AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-07",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "6220",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CT",
"license": "6220",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.