Individual provider Active NPI

Eileen Lonegan, FNP-BC

  • Family Nurse Practitioner
  • Beacon Falls, CT
National Provider Identifier
1265928154
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.007660 Issued in CT
Practice address
127 Pines Bridge Rd
Beacon Falls, CT 06403-1017
Phone
(203) 881-2757
NPI assigned
Jul 3, 2018
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 12.007660 CT Primary

Addresses

Primary practice location

127 Pines Bridge Rd
Beacon Falls, CT 06403-1017

Mailing address

73 Cooper LN
Stafford SPGS, CT 06076-1312
Phone (203) 910-1826

Other practice location 1

515 Middle Tpke W
Manchester, CT 06040-3816
Phone (860) 533-4176

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
I20180910000176 CT Practitioner - Nurse Practitioner 6901156157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians
Preferred Healthcare Associates IncGroup PAC ID 9335531052, 3 clinicians

Practice addresses (Care Compare)

515 Middle W Turnpike
Manchester, CT 06040-3816
Phone (860) 646-3814

7 Magauran Dr
Suite 3
Stafford Springs, CT 06076-4040
Phone (413) 455-6638

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.52 of 100Reported as group
Quality
43.33
Promoting interoperability
100
Improvement activities
20
Cost
90.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7660CTMDMental Health Counselor
12.007660CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sudipta & Bindu Dey, MD, Inc CurrentSince Jul 31, 2018 Accepting new patients
Prohealth Physicians PC Family CurrentSince Sep 14, 2024 Accepting new patients

Locations

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1265928154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 COOPER LN",
            "city": "STAFFORD SPGS",
            "state": "CT",
            "postal_code": "060761312",
            "telephone_number": "203-910-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PINES BRIDGE RD",
            "city": "BEACON FALLS",
            "state": "CT",
            "postal_code": "064031017",
            "telephone_number": "203-881-2757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Middle Tpke W",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060403816",
            "country_code": "US",
            "telephone_number": "860-533-4176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONEGAN",
        "first_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.007660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon Falls, CT

Sources for this page

Verify at the official NPI Registry.