Individual provider Active NPI

Amber Lauren Wachtarz, DNP

  • Gerontology Nurse Practitioner
  • Bloomfield, CT
National Provider Identifier
1689256190
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9733 Issued in CT
Practice address
711 Cottage Grove Rd
Bloomfield, CT 06002-3060
Phone
(860) 972-5400
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9733 CT Primary

Addresses

Primary practice location

711 Cottage Grove Rd
Bloomfield, CT 06002-3060

Mailing address

1 Glastonbury PL Unit 301
Glastonbury, CT 06033-4424
Phone (860) 202-2892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA2 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
I20210713003101 CT Practitioner - Nurse Practitioner 3173925146 Reassigns benefits to 1 organization
I20240531002029 CA Practitioner - Nurse Practitioner 3173925146 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
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

711 Cottage Grove Rd
Bloomfield, CT 06002-3060
Phone (860) 242-8756

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9733CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Health Medical Group of California CurrentSince Apr 17, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 4, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 4, 2021 Accepting new patients

Locations

2415 High School Ave
Ste 700
Concord, CA 94520
Phone (415) 848-9111

2323 Broadway
Oakland, CA 94612
Phone (510) 457-1064

339 W Main St
Avon, CT 06001
Phone (860) 696-2150

711 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-8756

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: amberwachtarz@xdr.hhchealthdirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1689256190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLASTONBURY PL UNIT 301",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334424",
            "telephone_number": "860-202-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COTTAGE GROVE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023060",
            "telephone_number": "860-972-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTARZ",
        "first_name": "AMBER",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "9733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.