Nicole Palanca

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13919 Issued in CT

Practice address

200 E Main St
Stratford, CT 06614-5114

Phone

(203) 923-2974

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Docs Medical IncGroup PAC ID 3173895000, 30 clinicians

CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Danbury Hospital Hospital, Danbury, CT, CCN 070033

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Docs Medical Inc

  • Family Medicine Physician
  • East Haven, CT
  • NPI 1104362169
  Medicare reassignment Care Compare group NPD
• CT Medical Group Inc.

  • Family Medicine Physician
  • East Haven, CT
  • NPI 1962265934
  Medicare reassignment Care Compare group
• Ophthalmic Consultants of Connecticut PC

  • Ophthalmology Physician
  • Fairfield, CT
  • NPI 1659319598
  NPD (past)

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

• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1740007228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PROSPECT ST APT 1D",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145114",
            "telephone_number": "203-923-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANCA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "13919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussam Othman, PHARMACIST
• Mark Martin Ovesny
• Sonia Oxendine, LMSW
• John A Pacheco, LCSW, LADC
• David Martin Pagar, DAVID PAGAR, D.D.S.
• Nicole C Palin, PHARMD
• Cole Papakyrikos, MD
• Linda Papp, LPC
• Ernesto S Paranal, RPT
• Denise Parent, LMFT

• Family Nurse Practitioner in Stratford, CT
• Providers in Stratford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.