Individual provider Active NPI

Susan N Grammatico, RN, APRN,DNP,FNP

  • Family Nurse Practitioner
  • New Milford, CT
National Provider Identifier
1669528618
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002547 Issued in CT
Practice address
15 Old Park Lane Rd Ste 100
New Milford, CT 06776-2530
Phone
(860) 333-8697
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002547 CT Primary

Addresses

Primary practice location

15 Old Park Lane Rd Ste 100
New Milford, CT 06776-2530

Mailing address

33 Hine Hill Rd
New Milford, CT 06776-3610
Phone (860) 488-4863

Other identifiers 3

IdentifierTypeStateIssuer
038868OtherHEALTHNET
102547OtherCONNECTICARE
400002547CT01OtherBLUE CROSS BLUE SHIELD

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
I20070606000585 CT Practitioner - Nurse Practitioner 7416055983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Rochester School of Medicine and Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Old Park Lane Rd
Suite 100
New Milford, CT 06776-2530
Phone (860) 333-8697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002547CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary PLLC Family CurrentSince Mar 1, 2024 Accepting new patients
Susan N Grammatico DNP FNP LLC Family CurrentSince May 1, 2025 Accepting new patients
Preferred Primary Care of New Milford, PLLC CurrentSince May 1, 2017 Accepting new patients
Mauks Koepke Medical LLC Past Accepting new patients

Locations

146 Danbury Rd
Ste A
New Milford, CT 06776
Phone (860) 350-3141

146 Danbury Rd
Ste D
New Milford, CT 06776
Phone (281) 773-8837

15 Old Park Lane Rd
Ste 100
New Milford, CT 06776
Phone (860) 333-8697

Interoperability endpoints

  • Direct secure messaging: susan.grammatico.1@33462.direct.athenahealth.com
  • Direct secure messaging: susan.grammatico.2@15700.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15933/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1669528618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HINE HILL RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763610",
            "telephone_number": "860-488-4863",
            "fax_number": "860-350-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD PARK LANE RD STE 100",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762530",
            "telephone_number": "860-333-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMMATICO",
        "first_name": "SUSAN",
        "middle_name": "N",
        "credential": "RN, APRN,DNP,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-06-05",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "038868",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "102547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "400002547CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.