Individual provider Active NPI

Ann Teresa Rupp, FNP

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1790243632
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8183 Issued in CT
Practice address
292 Long Ridge Rd Ste 206
Stamford, CT 06902-1627
Phone
(203) 276-7213
NPI assigned
Mar 11, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343988 NY
Family Nurse Practitioner 363LF0000X 8183 CT Primary

Addresses

Primary practice location

292 Long Ridge Rd Ste 206
Stamford, CT 06902-1627

Mailing address

292 Long Ridge Rd Ste 205
Stamford, CT 06902-1627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arupp@stamhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221122001356 NY Practitioner - Nurse Practitioner 6608119847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2071 Boston Post Rd
Larchmont, NY 10538-3701
Phone (914) 834-4123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F343988NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 3, 2023 Accepting new patients
White Plains Physician Services PC CurrentSince Nov 19, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 3, 2023 Accepting new patients

Locations

2071 Boston Post Rd
Larchmont, NY 10538
Phone (914) 833-1000

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1790243632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD STE 205",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 LONG RIDGE RD STE 206",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021627",
            "telephone_number": "203-276-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "ANN",
        "middle_name": "TERESA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343988",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arupp@stamhealth.org",
            "affiliation": "N",
            "address_1": "292 Long Ridge Rd Ste 206",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069021627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.