Active NPI
Priority Health Services LLC
- Family Nurse Practitioner
- Madison, CT
National Provider Identifier
1306549092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRIORITY HEALTH SERVICES LLC
- Practice address
- 6 Woodland Rd
Madison, CT 06443-2685 - Phone
- (203) 214-1242
- NPI assigned
- Mar 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrice Wilhelm, APRN
- Title
- Owner
- Phone
- (203) 214-1242
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
6 Woodland Rd
Madison, CT 06443-2685
Mailing address
25 Arrowhead LN
Branford, CT 06405-3905
Phone (203) 214-1242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2279073 | Priority Health Services LLC | Certificate of waiver | Mar 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Madison, CT
- NPI 1225011778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1306549092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ARROWHEAD LN",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053905",
"telephone_number": "203-214-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WOODLAND RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432685",
"telephone_number": "203-214-1242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIORITY HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-23",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "WILHELM",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-214-1242",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.