Individual provider Active NPI

Bettina Pass

  • Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1720725955
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10274 Issued in CT
Practice address
100 Mill Plain Rd
Danbury, CT 06811-5178
Phone
(203) 826-2600
Fax
(203) 826-8266
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10274 CT Primary

Addresses

Primary practice location

100 Mill Plain Rd
Danbury, CT 06811-5178

Mailing address

166 Old Brookfield Rd Unit 10-1
Danbury, CT 06811-4033
Phone (203) 856-0232

Other practice location 1

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

Other practice location 2

5A School St
Bethel, CT 06801-1828
Phone (203) 970-5741

Other practice location 3

125 S Main St
Newtown, CT 06470-2308
Phone (203) 785-0100

Other practice location 4

76 Newtown Rd Ste C
Danbury, CT 06810-6265
Phone (203) 826-8434

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
I20230118000539 CT Practitioner - Nurse Practitioner 3173994845 Reassigns benefits to 7 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

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
62.23
Improvement activities
40
Cost
81.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quentin Medical Group, LLC CurrentSince Sep 3, 2022 Accepting new patients
QMG4, LLC CurrentSince Sep 3, 2022 Accepting new patients
QMG3, LLC CurrentSince Sep 3, 2022 Accepting new patients
QMG2,LLC CurrentSince Sep 3, 2022 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Oct 15, 2024 Accepting new patients
Afc Physicians of Connecticut, PC Current Accepting new patients
Ctuc01 CurrentSince Mar 1, 2023 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Mar 1, 2023 Accepting new patients
QMG5,LLC CurrentSince Sep 3, 2022 Accepting new patients
QMG7,LLC PastSince Sep 3, 2022 Accepting new patients

Locations

4200 Main St
Bridgeport, CT 06606
Phone (203) 916-5151

161 Boston Ave
Bridgeport, CT 06610
Phone (203) 333-4400

100 Mill Plain Rd
Danbury, CT 06811
Phone (203) 792-7246

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

1918 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 583-8400

205 Main St
Ste 7
Norwalk, CT 06851
Phone (475) 257-6057

389 Bridgeport Ave
Shelton, CT 06484
Phone (203) 567-4171

1011 High Ridge Rd
Ste 101
Stamford, CT 06905
Phone (475) 477-2330

57 Monroe Tpke
Trumbull, CT 06611
Phone (203) 675-1345

1030 Boulevard
West Hartford, CT 06119
Phone (860) 986-6440

Interoperability endpoints

  • Direct secure messaging: bettina.pass@ghuc.eclinicaldirectplus.com

Organizations & group practices 10

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1720725955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 OLD BROOKFIELD RD UNIT 10-1",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114033",
            "telephone_number": "203-856-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "203-826-2600",
            "fax_number": "203-826-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Main St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068108047",
            "country_code": "US",
            "telephone_number": "203-826-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5A School St",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "CT",
            "postal_code": "068011828",
            "country_code": "US",
            "telephone_number": "203-970-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S Main St",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "CT",
            "postal_code": "064702308",
            "country_code": "US",
            "telephone_number": "203-785-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Newtown Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106265",
            "country_code": "US",
            "telephone_number": "203-826-8434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASS",
        "first_name": "BETTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "10274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.