Individual provider Active NPI

Maegan Anderson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Watertown, CT
National Provider Identifier
1376293316
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10463 Issued in CT
Practice address
27 Siemon Company Dr Ste 115W
Watertown, CT 06795-2654
Phone
(203) 941-0033
NPI assigned
Mar 24, 2022
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10463 CT Primary

Addresses

Primary practice location

27 Siemon Company Dr Ste 115W
Watertown, CT 06795-2654

Mailing address

27 Siemon Company Dr Ste 115W
Watertown, CT 06795-2654
Phone (203) 941-0033

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
I20220411002187 CT Practitioner - Nurse Practitioner 2769878198

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Clay Ave
Jeannette, PA 15644-3466

133 Thompson Dr Ext
Pittsburgh, PA 15229-1266

62 Eaton St
Oakville, CT 06779-1216

91 Northwest Dr
Plainville, CT 06062-1534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maystone Psychiatry Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Northeast Neuropsychology, LLC PastSince Sep 1, 2008 Accepting new patients

Locations

1449 Whalley Ave
Unit 3607
New Haven, CT 06525

27 Siemon Company Dr
Ste 115W
Watertown, CT 06795
Phone (203) 941-0033

Interoperability endpoints

  • Direct secure messaging: maegan.monterose.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1376293316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR STE 115W",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "203-941-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR STE 115W",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "203-941-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MAEGAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

Verify at the official NPI Registry.