Individual provider Active NPI

Sarah D Matterfis, A.P.R.N.

  • Adult Health Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1730238189
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
003443 Issued in CT
Practice address
320 Western Blvd Ste 102
Glastonbury, CT 06033-1276
Phone
(860) 633-1131
Fax
(860) 633-1636
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 003443 CT Primary
Nurse Practitioner 363L00000X 003443 CT

Addresses

Primary practice location

320 Western Blvd Ste 102
Glastonbury, CT 06033-1276

Mailing address

3 Farm Glen Blvd
Farmington, CT 06032-1981

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
I20080328000108 CT Practitioner - Nurse Practitioner 4688750870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-5814

14 Jones Hollow Rd
Marlborough, CT 06447-1448
Phone (860) 295-8217

515 Middle W Turnpike
Manchester, CT 06040-3816

950 Yale Ave
Wallingford, CT 06492-1858
Phone (203) 265-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003443CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Feb 14, 2008 Accepting new patients
Prohealth Physicians, Inc. Nurse Practitioner Past Accepting new patients
Lswhb LLC PastSince Jan 1, 2022 Accepting new patients

Locations

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

320 Western Blvd
Ste 102
Glastonbury, CT 06033
Phone (860) 633-1379

320 Western Blvd
Ste 104
Glastonbury, CT 06033
Phone (860) 633-2487

320 Western Blvd
Glastonbury, CT 06033
Phone (860) 657-5940

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

Interoperability endpoints

  • Direct secure messaging: sarah.matterfis.npi1730238189.phpct@direct.optumcare.masshiway.net

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.

Hospital & facility affiliations 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1730238189",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTERN BLVD STE 102",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331276",
            "telephone_number": "860-633-1131",
            "fax_number": "860-633-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERFIS",
        "first_name": "SARAH",
        "middle_name": "D",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003443",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.