Individual provider Active NPI

Ann McCue, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cos Cob, CT
National Provider Identifier
1609317536
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6692 Issued in CT
Practice address
94 River Rd
Cos Cob, CT 06807-2516
Phone
(203) 952-1509
NPI assigned
Mar 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6692 CT Primary

Addresses

Primary practice location

94 River Rd
Cos Cob, CT 06807-2516

Mailing address

94 River Rd
Cos Cob, CT 06807-2516

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
I20211029000477 CT Practitioner - Nurse Practitioner 6901294685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberation Programs Inc 11 clinicians

Practice addresses (Care Compare)

125 Main St
Stamford, CT 06901-2818
Phone (203) 391-7929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation Programs Inc CurrentSince Jul 24, 2021 Accepting new patients
Liberation Programs Inc Current Accepting new patients

Locations

339 West Ave
Bridgeport, CT 06604

129 Glover Ave
Norwalk, CT 06850
Phone (203) 604-1243

125 Main St
Stamford, CT 06901
Phone (203) 391-7906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1609317536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072516",
            "telephone_number": "203-952-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

Verify at the official NPI Registry.