Individual provider Active NPI

Elizabeth Ferland, APRN

  • Family Nurse Practitioner
  • North Stonington, CT
National Provider Identifier
1518330729
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6375 Issued in CT
Practice address
82 Norwich Westerly Rd
North Stonington, CT 06359-1744
Phone
(860) 599-2469
Fax
(860) 599-2830
NPI assigned
Nov 10, 2015
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 6375 CT Primary

Addresses

Primary practice location

82 Norwich Westerly Rd
North Stonington, CT 06359-1744

Mailing address

82 Norwich Westerly Rd
North Stonington, CT 06359-1744
Phone (860) 599-2469

Other identifiers 1

IdentifierTypeStateIssuer
008062864MedicaidCT

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
I20160126000993 CT Practitioner - Nurse Practitioner 3375846371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
North Stonington Medical Walk-in Center PCGroup PAC ID 9830283324, 3 clinicians

Practice addresses (Care Compare)

37 S Broad St
Unit 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

82 Norwich Westerly Rd
Suite 3
North Stonington, CT 06359-1744
Phone (860) 599-2469

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6375CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Stonington Medical Walk-in Center, PC Family CurrentSince Jul 1, 2018 Accepting new patients

Locations

82 Norwich Westerly Rd
North Stonington, CT 06359
Phone (860) 599-2469

82 Norwich Westerly Rd
Ste 3
North Stonington, CT 06359
Phone (860) 599-2469

Organizations & group practices 1

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1518330729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NORWICH WESTERLY RD",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591744",
            "telephone_number": "860-599-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NORWICH WESTERLY RD",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591744",
            "telephone_number": "860-599-2469",
            "fax_number": "860-599-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLAND",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008062864",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Stonington, CT

Sources for this page

Verify at the official NPI Registry.