Active NPI
Michael J Nolan, PA
- Surgical Physician Assistant
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 001644
- Practice address
- 56 Franklin St
Waterbury, CT 06706-1253 - Phone
- (203) 709-6360
- Fax
- (203) 709-5118
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1644 | CT | |
| Surgical Physician Assistant | 363AS0400X | 001644 | CT | Primary |
Addresses
Primary practice location
56 Franklin St
Waterbury, CT 06706-1253
Mailing address
56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6360
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-8063
Phone (860) 679-8080
Other practice location 2
595 Straits Tpke
Watertown, CT 06795-3393
Phone (844) 482-7285
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mnolan48121@direct.med.uchc.edu | Direct |
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
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557
2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691
Phone (203) 407-2500
240 Indian River Rd
Suite C
Orange, CT 06477-3649
Phone (203) 497-3861
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001644 | CT | MD | Occupational Therapy Assistant |
| 1644 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Impact Health P.C. | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Naugatuck Valley Cardiovascular Associates | Current | Accepting new patients | |
| University of Connecticut Health Center | Current | Accepting new patients | |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Saint Raphael Healthcare System Affiliated Physicians Inc | Physician Assistant | Past | Accepting new patients |
| Saint Raphael Faculty Physicians | Physician Assistant | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
47 Palomba Dr
Ste 202
Enfield, CT 06082
Phone (860) 247-3279
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
75 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 661-3333
2200 Whitney Ave
Ste 180
Hamden, CT 06518
Phone (203) 407-5800
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
1625 Straits Tpke
Ste 209
Middlebury, CT 06762
Phone (203) 758-9100
300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300
79 Wawecus St
Ste 104
Norwich, CT 06360
Phone (860) 237-5458
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- michaelj.nolan@xdr.hhchealthdirect.org
- michaelnolan@amggw.allscriptsdirect.net
Organizations & group practices 13
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.
-
- Nurse Practitioner
- Orange, CT
- NPI 1730694316
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Cardiovascular Disease Physician
- Hamden, CT
- NPI 1871522169
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
dba University Physicians
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
dba The Vascular Experts
- Vascular Surgery Physician
- Stratford, CT
- NPI 1033318175
-
- Hospitalist Physician
- New Haven, CT
- NPI 1952624769
-
- Cardiovascular Disease Physician
- Middlebury, CT
- NPI 1881721900
-
dba University Physicians
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Internal Medicine Physician
- New Haven, CT
- NPI 1932138138
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386664787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061253",
"telephone_number": "203-709-6360",
"fax_number": "203-709-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061253",
"telephone_number": "203-709-6360",
"fax_number": "203-709-5118"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060308063",
"country_code": "US",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "595 Straits Tpke",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "CT",
"postal_code": "067953393",
"country_code": "US",
"telephone_number": "844-482-7285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "1644",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "001644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnolan48121@direct.med.uchc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060308063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.