Individual provider Active NPI

Rudo Mupoperi-Exantus, FNP-C

  • Family Nurse Practitioner
  • Naugatuck, CT
National Provider Identifier
1457175937
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13814 Issued in CT
Practice address
4 Hazel Ave
Naugatuck, CT 06770-4706
Phone
(914) 844-5513
NPI assigned
Nov 12, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13814 CT Primary

Addresses

Primary practice location

4 Hazel Ave
Naugatuck, CT 06770-4706

Mailing address

24 Rockwood LN
Monroe, CT 06468-1034
Phone (914) 844-5513

Other names 1

  • Rudo Mupoperi Other name

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
I20250106000683 CT Practitioner - Nurse Practitioner 6608304688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians
Campbell Medical Services LLCGroup PAC ID 2163586454, 12 clinicians

Practice addresses (Care Compare)

4 Hazel Ave
Naugatuck, CT 06770-4706
Phone (203) 723-1456

755 Campbell Ave
Suite 1
West Haven, CT 06516-3789
Phone (203) 937-1100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Medical Services, LLC Family CurrentSince Jul 1, 2025 Accepting new patients
Infinite Medical PC CurrentSince Jun 23, 2025 Accepting new patients
Proactive Health Care Management,LLC Family CurrentSince Nov 24, 2024 Accepting new patients

Locations

845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645

4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411

80 Fern Dr
Torrington, CT 06790
Phone (860) 294-3607

755 Campbell Ave
Ste 1
West Haven, CT 06516
Phone (203) 937-1100

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 3

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 1

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1457175937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ROCKWOOD LN",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681034",
            "telephone_number": "914-844-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAZEL AVE",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704706",
            "telephone_number": "914-844-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUPOPERI-EXANTUS",
        "first_name": "RUDO",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDO",
            "last_name": "MUPOPERI",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.