Individual provider Active NPI

Adam Twickler, AGNP-C, APRN

  • Adult Health Nurse Practitioner
  • Orange, CT
National Provider Identifier
1447847348
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9352 Issued in CT
Practice address
240 Indian River Rd Ste A8
Orange, CT 06477-3690
Phone
(475) 882-6824
Fax
(860) 289-0746
NPI assigned
Dec 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9352 CT Primary

Addresses

Primary practice location

240 Indian River Rd Ste A8
Orange, CT 06477-3690

Mailing address

99 E River Dr FL 5
East Hartford, CT 06108-7301
Phone (758) 826-8244

Other practice location 1

2 Shaws Cv Ste 203
New London, CT 06320-4975
Phone (860) 772-0380

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL atwickler@thevascularexperts.com 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119000590 CT Practitioner - Nurse Practitioner 2769895473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Solutions Pain Management Clinic LLCGroup PAC ID 8628392693, 4 clinicians
SNF Physiatry Services CT PLLCGroup PAC ID 9436678661, 9 clinicians

Practice addresses (Care Compare)

236 Boston Post Rd
Orange, CT 06477-3236

992 Cooke St
Waterbury, CT 06704-1912
Phone (877) 544-4446

Merit-based Incentive Payment System (MIPS)

Final score
97.63 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Solutions Pain Management Clinic LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

236 Boston Post Rd
Unit 1A
Orange, CT 06477
Phone (475) 882-6824

240 Indian River Rd
Ste A8
Orange, CT 06477
Phone (203) 298-9828

236 Boston Post Rd
Ste 1A
Orange, CT 06477

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1447847348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR FL 5",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061087301",
            "telephone_number": "758-826-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD STE A8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773690",
            "telephone_number": "475-882-6824",
            "fax_number": "860-289-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Shaws Cv Ste 203",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204975",
            "country_code": "US",
            "telephone_number": "860-772-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWICKLER",
        "first_name": "ADAM",
        "credential": "AGNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-25",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "9352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "atwickler@thevascularexperts.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Shaws Cv Ste 203",
            "city": "New London",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063204975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.