Carolyn Fetchel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12.013729 Issued in CT

Practice address

600 W Putnam Ave
Greenwich, CT 06830-6080

Phone

(203) 413-0630

NPI assigned

Apr 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Connecticut Dermatology Group PLLCGroup PAC ID 9032147509, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Connecticut Dermatology Group PLLC

  • Dermatology Physician
  • Norwalk, CT
  • NPI 1699881557
  Medicare reassignment Care Compare group NPD
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD (past)

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1396539680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GREEN LN",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PUTNAM AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306080",
            "telephone_number": "203-413-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETCHEL",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.013729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Feldman, M.D.
• Alison Feridun, MS, OTR/L CHT
• Loreal Fernandes, RPH
• Salvatore Ferranti Jr., ATC, ROT
• Nichole S Ferreira, APRN
• Christopher P Fey, M.D.
• Fifth Avenue Surgical Specialists PLLC
• Caroline Figgie, MD
• Caroline Filor, MD
• Finch Pharmacy Inc

• Family Nurse Practitioner in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.

Verify at the official NPI Registry.