Individual provider Active NPI

Anne Machuga, APRN

  • Family Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1700475829
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.010557 Issued in CT
Practice address
400 Saybrook Rd Ste 205
Middletown, CT 06457-4775
Phone
(860) 346-7738
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 120051 CT
Family Nurse Practitioner 363LF0000X 12.010557 CT Primary

Addresses

Primary practice location

400 Saybrook Rd Ste 205
Middletown, CT 06457-4775

Mailing address

3 Farm Glen Blvd
Farmington, CT 06032-1981
Phone (860) 284-5200

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
I20220628003115 CT Practitioner - Nurse Practitioner 0941689533 Reassigns benefits to 2 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
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 258-3480

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120051CTMDRegistered Nurse
12.010557CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family CurrentSince Jan 17, 2023 Accepting new patients
Starling Physicians PLLC CurrentSince Nov 21, 2023 Accepting new patients
Starling Physicians, PLLC CurrentSince Nov 21, 2023 Accepting new patients
Prohealth Physicians, Inc. Family PastSince Dec 18, 2022 Accepting new patients

Locations

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

225 N Main St
Ste 106
Bristol, CT 06010
Phone (860) 585-4300

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

400 Saybrook Rd
Ste 205
Middletown, CT 06457
Phone (860) 346-7738

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: anne.machuga.npi1700475829.phpct@direct.optumcare.masshiway.net

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 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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1700475829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FARM GLEN BLVD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321981",
            "telephone_number": "860-284-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAYBROOK RD STE 205",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574775",
            "telephone_number": "860-346-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHUGA",
        "first_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "120051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.010557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.