Mary Wattick Sutterfield, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13132 Issued in CT

Practice address

12A Ledgebrook Dr
Mansfield Center, CT 06250-1690

Phone

(860) 423-2960

NPI assigned

May 7, 2024

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment NPD
• Mansfield Pediatrics LLC

  • Pediatrics Physician
  • Mansfield Center, CT
  • NPI 1285729780
  NPD (past)
• South Windsor Pediatrics, LLC

  • Pediatric Adolescent Medicine Physician
  • South Windsor, CT
  • NPI 1851588701
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1487402301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 STORRS RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682200",
            "telephone_number": "860-456-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12A LEDGEBROOK DR",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501690",
            "telephone_number": "860-423-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Storrs Rd",
            "address_purpose": "LOCATION",
            "city": "Storrs",
            "state": "CT",
            "postal_code": "062682200",
            "country_code": "US",
            "telephone_number": "860-456-9720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "MARY",
        "middle_name": "WATTICK",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryalice M Stone, M.S., CCC-SLP,AET
• Fran E. Storch, N.D.
• Bentley Andrew Strockbine, M.D.
• Peter Sugerman, M.D.
• Suzanne Sustaita, LPC
• Angellina Swart, LCSW
• Tamara Vertefeuille, LLC
• Chelsea Teasdale, LPC
• Telebup, LLC
• Tianna Teles-Rosario, LMSW-T

• Family Nurse Practitioner in Mansfield Center, CT
• Providers in Mansfield Center, 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 May 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.