Filma Alquisola Bicknell, FNP
Individual provider Active NPI Nurse Practitioner · Stamford, CT
NPI 1467091256 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1467091256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 12.008700 (CT)
- Practice address
- 19 Long Hill Dr
Stamford, CT 06902-1414 - Phone
- (203) 803-8717
- NPI assigned
- Dec 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CT, NH, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210111002188 | CT | Practitioner - Nurse Practitioner | 7113330242 | Reassigns benefits to 1 organization |
| I20230609001911 | NH | Practitioner - Nurse Practitioner | 7113330242 | Reassigns benefits to 1 organization |
| I20231122001709 | NY | Practitioner - Nurse Practitioner | 7113330242 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090499 | CT | MD | Registered Nurse |
| 12.008700 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Brookview Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Matrix Medical of New York PC | Nurse Practitioner | Current |
Accepting new patients |
| Urban Family Practice PC | Nurse Practitioner | Past | Accepting new patients |
Locations
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 600
Dallas, TX 75244
Interoperability endpoints
- filma.bicknell@cinq-nyipa.medentdirect.com
- fbicknell19811@carelonhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 090499 | CT | |
| Nurse Practitioner | 363L00000X | 12.008700 | CT | Yes |
Addresses
Primary practice location
19 Long Hill Dr
Stamford, CT 06902-1414
Mailing address
19 Long Hill Dr
Stamford, CT 06902-1414
Phone (203) 803-8717
Other providers in Stamford, CT
- BH Long Ridge LLC
- Vipulkumar Bhalodiya
- Palak Bhambri
- Rajitha Bharatan
- Frank J Bia
- Sara Bienenfeld
- Jeremy A Bier
- Big Leaps
- Big Little Smiles Pediatric Dentistry PLLC
- Taylor Marie Bigelow
All providers in Stamford, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.