Active NPI
Lori Weckesser, APRN
- Nurse Practitioner
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9149
- Practice address
- 675 Main St
Middletown, CT 06457-2632 - Phone
- (860) 347-6971
- NPI assigned
- May 14, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | E59656 | CT | |
| Nurse Practitioner | 363L00000X | 9149 | CT | Primary |
Addresses
Primary practice location
675 Main St
Middletown, CT 06457-2632
Mailing address
675 Main St
Middletown, CT 06457-2632
Phone (860) 347-6971
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Shaws CV
New London, CT 06320-4902
Phone (860) 447-8304
609 W Johnson Ave
Suite 104
Cheshire, CT 06410-4506
Phone (888) 344-3893
9 College St
Suite 6
South Hadley, MA 01075-1421
Phone (888) 344-3893
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9149 | CT | MD | Professional Counselor |
| E59656 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients | |
| Advanced Telepsych PLLC | Current | Accepting new patients | |
| Community Health Center Inc | Current | Accepting new patients | |
| Northeast Neuropsychology, LLC | Past | Accepting new patients |
Locations
609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
1 Shaws Cv
New London, CT 06320
Phone (860) 447-8304
9 College St
Ste 6
South Hadley, MA 01075
Phone (413) 534-7400
Interoperability endpoints
- lori.weckesser@chcict.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Middletown, CT
- NPI 1508456377
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
-
- Clinical Neuropsychologist
- Cheshire, CT
- NPI 1396991956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1356963128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572632",
"telephone_number": "860-347-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572632",
"telephone_number": "860-347-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKESSER",
"first_name": "LORI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "E59656",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "9149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.