Active NPI
Megan Dushek, CPNP-AC
- Pediatric Nurse Practitioner
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 8644
- Practice address
- 56 Franklin St
Waterbury, CT 06706-1253 - Phone
- (860) 545-8029
- NPI assigned
- Oct 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024173011 | VA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN1038656 | DC | |
| Pediatric Nurse Practitioner | 363LP0200X | 8644 | CT | Primary |
Addresses
Primary practice location
56 Franklin St
Waterbury, CT 06706-1253
Mailing address
10 Columbus Boulevard
Medical Staff Office
Hartford, CT 06106
Phone (860) 837-5619
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdushek60915@connecticutchildrens.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1038656 | DC | MD | Pediatric Nurse Practitioner |
| 0024173011 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706
80 Seymour St
Fl 5
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Ofc
Hartford, CT 06106
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
100 Retreat Ave
Fl 5
Hartford, CT 06106
Phone (860) 837-5206
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
Interoperability endpoints
- mdushek60915@connecticutchildrens.direct-ci.com
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.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
Pediatrics
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1609248012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COLUMBUS BOULEVARD",
"address_2": "MEDICAL STAFF OFFICE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "860-837-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061253",
"telephone_number": "860-545-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSHEK",
"first_name": "MEGAN",
"credential": "CPNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-25",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024173011",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "DC",
"license": "RN1038656",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "8644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdushek60915@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "56 Franklin St",
"city": "Waterbury",
"state": "CT",
"country_code": "US",
"postal_code": "067061253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.