Sandra Biolo – Adult Health Nurse Practitioner

Key facts

NPI: 1700978426
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: 002307 (CT)
Practice address: 22 Old Waterbury Rd
Southbury, CT 06488-3848
Phone: (203) 262-4200
NPI assigned: Sep 29, 2006
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Nuvance Health Medical Practice CT, Inc. Internal Medicine Physician · Danbury, CT · NPI 1407898117

Medicare reassignment Care Compare group NPD CT
Absolute Outcomes, LLC Internal Medicine Physician · Monroe, CT · NPI 1073746202

NPD (past)
University of Connecticut Health Center Clinical Medical Laboratory · Farmington, CT · NPI 1427031293

NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Danbury Hospital Dental Clinic/Center · Danbury, CT · NPI 1003835935

Care Compare affiliation Hospital
Danbury Hospital General Acute Care Hospital · Danbury, CT · NPI 1548293343

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2001
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Nuvance Health Medical Practice CT Inc (742 clinicians)

Practice addresses (Care Compare)

22 Old Waterbury Rd
Southbury, CT 06488-3848
Phone (203) 262-4200

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

Hospital & facility affiliations

Danbury Hospital Hospital · Danbury, CT · CCN 070033

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
I20080527000620	CT	Practitioner - Nurse Practitioner	5294804662	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
002307	CT	MD	Psychologist

Practice roles

Organization	Status	New patients
Nuvance Health Medical Practice CT, Inc.	Current since Jan 1, 2008	Accepting new patients
Absolute Outcomes, LLC	Past	Accepting new patients
University of Connecticut Health Center	Past	Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Critical Care Medicine Nurse Practitioner	363LC0200X	002307	CT
Adult Health Nurse Practitioner	363LA2200X	002307	CT	Yes

Addresses

Primary practice location

22 Old Waterbury Rd
Southbury, CT 06488-3848

Mailing address

22 Old Waterbury Rd
Southbury, CT 06488-3848
Phone (203) 262-4288

Other providers in Southbury, CT

All providers in Southbury, CT · Adult Health 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 29, 2015. 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.

Verify at the official NPI Registry.