Individual provider Active NPI

Meghan E Burgess, APRN

  • Nurse Practitioner
  • Wethersfield, CT
National Provider Identifier
1801096516
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
003635 Issued in CT
Practice address
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone
(860) 258-2375
Fax
(860) 571-6805
NPI assigned
Jul 20, 2007
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 003635 CT Primary
Adult Health Nurse Practitioner 363LA2200X 003635 CT

Addresses

Primary practice location

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362

Mailing address

101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone (203) 949-2700

Other identifiers 2

IdentifierTypeStateIssuer
003635OtherCTLICENSE
1801096516MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070926000668 CT Practitioner - Nurse Practitioner 9638264344 Reassigns benefits to 4 organizations
I20260324000931 NY Practitioner - Nurse Practitioner 9638264344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

Practice addresses (Care Compare)

863 N Main St Ext
Wallingford, CT 06492-2434

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services of CT, LLC Nurse Practitioner CurrentSince Oct 1, 2017 Accepting new patients
Starling Physicians, PLLC CurrentSince Jul 20, 2007 Accepting new patients
Starling Physicians, PLLC Nurse Practitioner Current Accepting new patients
Meriden Imaging Center, Inc. Nurse Practitioner CurrentSince Oct 1, 2017 Accepting new patients
Midstate Radiology Associates, LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Starling Physicians PLLC CurrentSince Jul 20, 2007 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

22 Pine St
Bristol, CT 06010
Phone (860) 229-8346

22 Pine St
Ste 210
Bristol, CT 06010
Phone (860) 940-4838

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492
Phone (203) 269-0885

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

Organizations & group practices 7

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1801096516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922360",
            "telephone_number": "203-949-2700",
            "fax_number": "203-949-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094362",
            "telephone_number": "860-258-2375",
            "fax_number": "860-571-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MEGHAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003635",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "003635",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801096516",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.