Randa Arbach, FNP
Individual provider Active NPI Family Nurse Practitioner · Riverside, CT
NPI 1659602829 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1659602829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 004261 (CT)
- Practice address
- 1239 E Putnam Ave
Riverside, CT 06878-1522 - Phone
- (866) 389-2727
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MC Diagnostic of Connecticut, P.C.
Practice addresses (Care Compare)
1239 E Putnam Ave
Riverside, CT 06878-1522
Phone (866) 389-2727
3514 Main St
Coventry, CT 06238-1551
Phone (866) 389-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.34 of 100
- Quality
- 82.53
- Improvement activities
- 40
- Cost
- 86.49
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 |
|---|---|---|---|---|
| I20101115000346 | CT | Practitioner - Nurse Practitioner | 6406041532 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004261 | CT | MD | Speech-Language Pathologist |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Diagnostic of Connecticut, P.C. | Family | Current |
Accepting new patients |
| Minuteclinic Primary Care Connecticut PLLC | Family | Current |
Accepting new patients |
Locations
3514 Main St
Coventry, CT 06238
Phone (860) 298-5925
1239 E Putnam Ave
Riverside, CT 06878
Phone (203) 675-9805
323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004261 | CT | Yes |
Addresses
Primary practice location
1239 E Putnam Ave
Riverside, CT 06878-1522
Mailing address
1239 E Putnam Ave
Riverside, CT 06878-1522
Other providers in Riverside, CT
- Joicy Samuel Abraham
- Kyle J Bean
- Becca Chodos LCSW, LLC
- Branden Beecher
- Joseph J Berardi
- Neil N Boside
All providers in Riverside, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. 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.