Individual provider Active NPI

Megan Strobel

  • Psychiatric/Mental Health Nurse Practitioner
  • Middlebury, CT
National Provider Identifier
1609446285
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10174 Issued in CT
Practice address
390 Middlebury Rd Ste 2
Middlebury, CT 06762-2634
Phone
(203) 558-1143
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 10.106015 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10174 CT Primary

Addresses

Primary practice location

390 Middlebury Rd Ste 2
Middlebury, CT 06762-2634

Mailing address

390 Middlebury Rd Ste 2
Middlebury, CT 06762-2634

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
I20250506002278 CT Practitioner - Nurse Practitioner 5890212567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Wellness LLCGroup PAC ID 6204351810, 8 clinicians

Practice addresses (Care Compare)

300 Plaza Middlesex
Suite 2
Middletown, CT 06457-3456
Phone (860) 975-7455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10.106015CTMDPediatric Registered Nurse
10174CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Wellness LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

388 E Main St
Ste 2
Branford, CT 06405

300 Plaza Middlesex
Ste 2
Middletown, CT 06457
Phone (860) 346-6020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1609446285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MIDDLEBURY RD STE 2",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MIDDLEBURY RD STE 2",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622634",
            "telephone_number": "203-558-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBEL",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CT",
            "license": "10.106015",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.