Individual provider Active NPI

Muguette C Arenas, APRN

  • Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1740012665
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12.013720 Issued in CT
Practice address
401 Shippan Ave Ste 201
Stamford, CT 06902-6075
Phone
(203) 658-9507
Fax
(203) 406-4462
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 12.013720 CT Primary

Addresses

Primary practice location

401 Shippan Ave Ste 201
Stamford, CT 06902-6075

Mailing address

401 Shippan Ave # 201
Stamford, CT 06902-6075

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
I20250416001688 CT Practitioner - Nurse Practitioner 7618492232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charter Oak Health Center, IncGroup PAC ID 3870401078, 37 clinicians
Intercommunity IncGroup PAC ID 9032001649, shared by 2 NPIs, 36 clinicians

Practice addresses (Care Compare)

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500

281 Main St
East Hartford, CT 06118-1823
Phone (860) 291-1335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.013720CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Oak Health Center, Inc. CurrentSince Mar 19, 2025 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Mar 19, 2025 Accepting new patients

Locations

21 Grand St
Hartford, CT 06106

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1740012665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHIPPAN AVE # 201",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026075",
            "fax_number": "203-406-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHIPPAN AVE STE 201",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026075",
            "telephone_number": "203-658-9507",
            "fax_number": "203-406-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENAS",
        "first_name": "MUGUETTE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12.013720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.