Nicholas G. Anagnost, PA-C
Individual provider Active NPI Surgical Physician Assistant · Trumbull, CT
NPI 1548038623 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1548038623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 6435 (CT)
- Practice address
- 888 White Plains Rd Ste 105&106
Trumbull, CT 06611-4552 - Phone
- (203) 268-2882
- Fax
- (203) 452-3099
- NPI assigned
- Dec 18, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabilitation Associates Inc
Orthopaedic Specialty Group PC
Practice addresses (Care Compare)
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600
555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773
Hospital & facility affiliations
- Griffin Hospital
- St Vincent'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214001434 | CT | Practitioner - Physician Assistant | 3779927140 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6435 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Orthopaedic Specialists, PC | Current |
Accepting new patients | |
| Orthopaedic Specialty Group, P.C. | Past | Accepting new patients |
Locations
2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500
888 White Plains Rd
Trumbull, CT 06611
Phone (203) 268-2882
888 White Plains Rd
Ste 105106
Trumbull, CT 06611
Phone (203) 268-2882
Interoperability endpoints
- nicholas.anagnost@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 6435 | CT | Yes |
Addresses
Primary practice location
888 White Plains Rd Ste 105&106
Trumbull, CT 06611-4552
Mailing address
2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160
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All providers in Trumbull, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.