Individual provider Active NPI

Deborah Hackett, APRN

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1699434274
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10233 Issued in CT
Practice address
622 Hebron Ave Ste 4B
Glastonbury, CT 06033-2421
Phone
(860) 659-8904
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 10233 CT Primary

Addresses

Primary practice location

622 Hebron Ave Ste 4B
Glastonbury, CT 06033-2421

Mailing address

60 Beechnut LN
South Windsor, CT 06074-3504
Phone (414) 563-5055

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
I20240809000986 CT Practitioner - Nurse Practitioner 7719379759 Reassigns benefits to 3 organizations

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
Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians
Allergy Associates of Hartford, PCGroup PAC ID 0648173500, 6 clinicians

Practice addresses (Care Compare)

179 Talcottville Rd
Vernon, CT 06066-4615
Phone (860) 986-7600

2 Main St
Danbury, CT 06810-8047
Phone (203) 826-2140

21 Woodland St
Suite 210
Hartford, CT 06105-4318
Phone (860) 246-7273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC Allergy CurrentSince Jan 24, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jan 20, 2026 Accepting new patients
Allergy Associates of Hartford, PC Allergy CurrentSince Jun 1, 2024 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 24, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jan 20, 2026 Accepting new patients
Prospect Manchester Hospital, Inc. Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

136 Berlin Rd
Cromwell, CT 06416
Phone (860) 378-8585

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

622 Hebron Ave
Ste 104B
Glastonbury, CT 06033
Phone (860) 652-3181

21 Woodland St
Ste 210
Hartford, CT 06105
Phone (860) 246-7273

1064 E Main St
Ste 101
Meriden, CT 06450
Phone (203) 440-9190

2110 Silas Deane Hwy
Rocky Hill, CT 06067

351 Merline Rd
Ste 103
Vernon, CT 06066
Phone (860) 870-4100

Interoperability endpoints

  • Direct secure messaging: hackett.deborah.045.0090427@avh.meditab.direct-ci.com

Organizations & group practices 8

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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1699434274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BEECHNUT LN",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743504",
            "telephone_number": "414-563-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE STE 4B",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332421",
            "telephone_number": "860-659-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "DEBORAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.