Individual provider Active NPI

Patricia Dormer, FNP

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1619795796
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14053 Issued in CT
Practice address
3000 Summer St
Stamford, CT 06905-4311
Phone
(203) 969-2000
NPI assigned
Sep 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14053 CT Primary
Family Nurse Practitioner 363LF0000X 351594 NY

Addresses

Primary practice location

3000 Summer St
Stamford, CT 06905-4311

Mailing address

944 E 226TH St
Bronx, NY 10466-4618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250324000739 CT Practitioner - Nurse Practitioner 6002338605 Reassigns benefits to 2 organizations
I20250827003410 NY Practitioner - Nurse Practitioner 6002338605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Westport Urgent Care LLCGroup PAC ID 4688826712, 7 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

1045 Post E Rd
Westport, CT 06880-5370
Phone (203) 557-8200

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14053CTMDFamily Nurse Practitioner
351594NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westport Urgent Care LLC CurrentSince Sep 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2025 Accepting new patients

Locations

1045 Post Rd E
Westport, CT 06880
Phone (203) 259-2124

111 E 210th St
Bronx, NY 10467

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: patlewis@montefioredirect.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1619795796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 E 226TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054311",
            "telephone_number": "203-969-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMER",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14053",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.