Individual provider Active NPI

Annette L Eppler, APRN ANP-C

  • Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1518199769
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
004159 Issued in CT
Practice address
85 Seymour Street
Suite 923
Hartford, CT 06106
Phone
(860) 547-1876
Fax
(860) 520-1379
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 004159 CT Primary

Addresses

Primary practice location

85 Seymour Street
Suite 923
Hartford, CT 06106

Mailing address

2110 Silas Deane Highway
Rocky Hill, CT 06067
Phone (860) 258-3480

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
I20100512001016 CT Practitioner - Nurse Practitioner 0547398554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Headache Care Center PLLCGroup PAC ID 1557611787, 4 clinicians

Practice addresses (Care Compare)

1741 Ellington Rd
Suite 1
South Windsor, CT 06074-2720
Phone (860) 263-3603

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Jun 11, 2018 Accepting new patients
Headache Care Center PLLC CurrentSince Sep 1, 2020 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

85 Seymour St
Ste 923
Hartford, CT 06106
Phone (860) 524-4550

1741 Ellington Rd
Ste 1
South Windsor, CT 06074
Phone (860) 263-3603

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 4

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1518199769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HIGHWAY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-258-3480",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR STREET",
            "address_2": "SUITE 923",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-547-1876",
            "fax_number": "860-520-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPLER",
        "first_name": "ANNETTE",
        "middle_name": "L",
        "credential": "APRN ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.