Individual provider Active NPI

Taryn Kegler, RN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Willimantic, CT
National Provider Identifier
1508377342
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12207 Issued in CT
Practice address
842 Main St
Willimantic, CT 06226-2442
Phone
(860) 450-0151
Fax
(860) 450-7127
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 117315 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12207 CT Primary

Addresses

Primary practice location

842 Main St
Willimantic, CT 06226-2442

Mailing address

3 Pine St
Columbia, CT 06237-1517

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
I20231016002370 CT Practitioner - Nurse Practitioner 2668827312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeler Clinic IncGroup PAC ID 0345147153, 105 clinicians

Practice addresses (Care Compare)

43 Woodland St
Hartford, CT 06105-2363
Phone (860) 793-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
117315CTMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Perception Programs Inc CurrentSince Sep 11, 2023 Accepting new patients
Wheeler Clinic Inc CurrentSince Jan 26, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Jan 26, 2024 Accepting new patients

Locations

43 Woodland St
Hartford, CT 06105
Phone (860) 241-0317

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

842 Main St
Willimantic, CT 06226
Phone (860) 450-0151

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/perceptionprograms/r4/
  • Direct secure messaging: taryn.kegler.p1@direct.wheelerclinic.nextgenshare.com

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1508377342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINE ST",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262442",
            "telephone_number": "860-450-0151",
            "fax_number": "860-450-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGLER",
        "first_name": "TARYN",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "117315",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.