Gloria Tercyak

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9338 Issued in CT

Practice address

25 Dover Rd
North Haven, CT 06473-1104

Phone

(203) 239-2969

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

Sex

Female

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Wound Care LLCGroup PAC ID 8729445580, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95

Improvement activities

40

Cost

77.11

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wound Surgeons LLC

  dba Wound Care Specialists, LLC

  • General Practice Physician
  • Farmington, CT
  • NPI 1982916151
  Medicare reassignment NPD
• Complete Wound Care LLC

  • General Practice Physician
  • Wallingford, CT
  • NPI 1033801568
  Care Compare group

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1467049338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DOVER RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DOVER RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731104",
            "telephone_number": "203-239-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERCYAK",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Talbot
• Tall Oaks Counseling, LLC
• Elizabeth Renee Gariepy Tavares, PA-C
• Irena Taylor, MS MFT
• Emily Teeple, PA-C
• The Diaper Bank of Connecticut, Inc. (The Diaper Bank)
• The Livin' Room; 'Let US Together Make Room for Living', LLC
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #694)
• Therapy Bardo LLC
• Jordan Theriault

• Family Nurse Practitioner in North Haven, CT
• Providers in North Haven, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.