Vicky Amon-Perpetua, APRN
Individual provider Active NPI Nurse Practitioner · New Haven, CT
NPI 1437378809 · NPPES record last updated Nov 27, 2013
Key facts
- NPI
- 1437378809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 00337 (CT)
- Practice address
- 20 York Street, CB-2041
New Haven, CT 06510-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060123000479 | CT | Practitioner - Nurse Practitioner | 7214951813 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003337 | CT | MD | Clinical Social Worker |
| 00337 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Northeast Medical Group, Inc. | Nurse Practitioner | Current |
Accepting new patients |
Locations
322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734
240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
687 Campbell Ave
West Haven, CT 06516
Phone (203) 786-5068
Interoperability endpoints
- vamonperpetua140129@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 00337 | CT | Yes |
| Family Nurse Practitioner | 363LF0000X | 003337 | CT |
Addresses
Primary practice location
20 York Street, CB-2041
New Haven, CT 06510-3220
Mailing address
20 York Street, CB-2041
New Haven, CT 06510-3220
Phone (203) 688-4748
Other providers in New Haven, CT
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- John Paul Amodeo
- Sharon Amole
- Kent Amoo-Achampong
- Akua Adwubi Panyin Amoo
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All providers in New Haven, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.