Individual provider Active NPI

Muoi Petruff, FNP

  • Family Nurse Practitioner
  • Stafford Springs, CT
National Provider Identifier
1457110470
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12985 Issued in CT
Practice address
201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone
(860) 684-4251
NPI assigned
Mar 14, 2024
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12985 CT
Family Nurse Practitioner 363LF0000X 12985 CT Primary

Addresses

Primary practice location

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005

Mailing address

12 Still Meadow LN
Somers, CT 06071-2134
Phone (860) 558-0496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240806002938 CT Practitioner - Nurse Practitioner 9335686559 Reassigns benefits to 3 organizations
I20260610003722 MA Practitioner - Nurse Practitioner 9335686559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Docs Medical IncGroup PAC ID 3173895000, 30 clinicians
CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271

521 Boston Post Rd
Orange, CT 06477-3506
Phone (203) 529-3271

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12985CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Inc CurrentSince Jan 6, 2025 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Oct 25, 2025 Accepting new patients
Galen Inpatient Physicians PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Oct 25, 2025 Accepting new patients

Locations

317 Foxon Rd
East Haven, CT 06513
Phone (203) 484-9333

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

521 Boston Post Rd
Orange, CT 06477
Phone (203) 529-3271

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

Interoperability endpoints

  • Direct secure messaging: mpetruff2999596@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1457110470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STILL MEADOW LN",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060712134",
            "telephone_number": "860-558-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT HILL RD",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060764005",
            "telephone_number": "860-684-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUFF",
        "first_name": "MUOI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford Springs, CT

Sources for this page

Verify at the official NPI Registry.