Individual provider Active NPI

Mahvesh Babar Ansari

  • Family Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1508750399
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14842 Issued in CT
Practice address
145 Union St
Vernon, CT 06066-3025
Phone
(860) 375-8440
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14842 CT Primary

Addresses

Primary practice location

145 Union St
Vernon, CT 06066-3025

Mailing address

145 Union St
Vernon, CT 06066-3025
Phone (860) 375-8440

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
I20260121001185 CT Practitioner - Nurse Practitioner 0749767895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Union St
Vernon, CT 06066-3025

2500 Legacy Dr
Suite 200
Frisco, TX 75034-6207

80 Pine St
FL 21
New York, NY 10005-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14842CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vcare Family Practice, LLC Family CurrentSince Dec 14, 2025 Accepting new patients
Sanford Linn LLC Current Accepting new patients

Locations

145 Union St
Vernon Rockville, CT 06066
Phone (860) 375-8440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1508750399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 UNION ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663025",
            "telephone_number": "860-375-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 UNION ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663025",
            "telephone_number": "860-375-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "MAHVESH",
        "middle_name": "BABAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.