Individual provider Active NPI

Amelia Flater, PA-C

  • Physician Assistant
  • East Hartford, CT
National Provider Identifier
1477106722
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
809 Main St
East Hartford, CT 06108-3117
Phone
(860) 528-1359
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

809 Main St
East Hartford, CT 06108-3117

Mailing address

20 Bob White Way
Weatogue, CT 06089-9736
Phone (860) 951-8259

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
I20191217000615 CT Practitioner - Physician Assistant 5395077150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

Practice addresses (Care Compare)

110 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359263

92 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359129

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. CurrentSince Oct 27, 2019 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Oct 27, 2019 Accepting new patients
First Choice Health Centers, Inc. Past Accepting new patients

Locations

809 Main St
East Hartford, CT 06108
Phone (203) 788-1479

478 Burnside Ave
East Hartford, CT 06108
Phone (860) 289-7161

478 Burnside Ave
Ste 2
East Hartford, CT 06108
Phone (860) 528-7161

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1477106722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BOB WHITE WAY",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899736",
            "telephone_number": "860-951-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083117",
            "telephone_number": "860-528-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATER",
        "first_name": "AMELIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.