Individual provider Active NPI

Karen Janet Terwilliger, MS, APRN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Mystic, CT
National Provider Identifier
1245616705
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
6220 Issued in CT
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

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028000314 CT Practitioner - Nurse Practitioner 0446569719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Connecticut PLLC CurrentSince Dec 24, 2023 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.

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

Verify at the official NPI Registry.