Walter Mauricio Saquipulla

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5330 Issued in CT

Practice address

1687 Boston Post Rd
Old Saybrook, CT 06475-1608

Phone

(860) 391-6449

Fax

(860) 391-6450

NPI assigned

Sep 5, 2017

Sex

Male

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthnation, PCGroup PAC ID 4486092640, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Healthnation PC

  • Urgent Care Clinic/Center
  • West Haven, CT
  • NPI 1811779887
  Medicare reassignment Care Compare group
• Healthnation PC

  • Urgent Care Clinic/Center
  • West Haven, CT
  • NPI 1891551826
  NPD (past)
• WRK Ventures, LLC

  • Urgent Care Clinic/Center
  • Southbury, CT
  • NPI 1194993980
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1457879967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751608",
            "telephone_number": "860-391-6449",
            "fax_number": "860-391-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAQUIPULLA",
        "first_name": "WALTER",
        "middle_name": "MAURICIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilford Samson, D.D.S
• Vincent Arthur Samuolis, LCSW, LADC
• Brittany Sanchez, LPC
• Nancy Lynn Sandner, RPT
• Emily-Rose Santamaria, LCSW
• Saybrook Center LLC
• Saybrook Dermatology LLC
• Saybrook Health Care Center, Inc.
• Saybrook Healthcare Center, Inx
• Saybrook Podiatry Associates, PC

• Medical Physician Assistant in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.