Individual provider Active NPI

April Phelps

  • Surgical Physician Assistant
  • Farmington, CT
National Provider Identifier
1316627060
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
6241 Issued in CT
Practice address
345 Colt Hwy
Farmington, CT 06032-2567
Phone
(860) 519-8696
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 6241 CT Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

345 Colt Hwy
Farmington, CT 06032-2567

Mailing address

345 Colt Hwy
Farmington, CT 06032-2567

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
I20231002003134 CT Practitioner - Physician Assistant 4981058435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208

140 Sherman St
FL 2
Fairfield, CT 06824-5849
Phone (516) 616-5500

95 Woodland St
Hartford, CT 06105-1230
Phone (860) 714-4448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6241CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Nov 15, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Nov 15, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Nov 13, 2023 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Sep 24, 2023 Accepting new patients

Locations

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

140 Sherman St
Fl 5
Fairfield, CT 06824
Phone (203) 482-4463

345 Colt Hwy
Farmington, CT 06032
Phone 5166165500 ext. 107

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037

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

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

Interoperability endpoints

  • Direct secure messaging: nybg.aprilphelps@136202.advancedmd-direct.com
  • Direct secure messaging: aphelps3064450@direct.trinity-health.org

Organizations & group practices 6

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1316627060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322567",
            "telephone_number": "860-519-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "APRIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "6241",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.