Individual provider Active NPI

Awilda Altagracia Lugo Mendez, APRN

  • Family Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1821534215
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6886 Issued in CT
Practice address
80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418
Phone
(203) 756-8021
Fax
(888) 965-5624
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6886 CT Primary

Addresses

Primary practice location

80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418

Mailing address

241-3 Judith Lane
Waterbury, CT 06704
Phone (203) 510-1187

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
I20170322002607 CT Practitioner - Nurse Practitioner 7517242134 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Community Mental Health Center Inc.Group PAC ID 9830185552, 4 clinicians
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

2550 Main St
Hartford, CT 06120-1936

44 Abbott Ter
Waterbury, CT 06702-1431
Phone (718) 298-4375

615 W Johnson Ave
Suite 202 1061
Cheshire, CT 06410-4531
Phone (475) 377-0887

Merit-based Incentive Payment System (MIPS)

Final score
87.14 of 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6886CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Health and Wellness LLC Family CurrentSince Aug 12, 2022 Accepting new patients
Step Up Care PC LLC CurrentSince Feb 17, 2020 Accepting new patients
Renewed Health and Wellness LLC CurrentSince Mar 27, 2022 Accepting new patients
Impact Health P.C. Family CurrentSince Jun 8, 2020 Accepting new patients
Hartford Community Mental Health Center Inc. CurrentSince Oct 15, 2025 Accepting new patients

Locations

615 W Johnson Ave
Ste 2021061
Cheshire, CT 06410
Phone (475) 377-0887

2550 Main St
Hartford, CT 06120
Phone (860) 548-0101

2550 Main St
Fl 3
Hartford, CT 06120
Phone (860) 548-0101

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

49 Waterbury Rd
Ste B
Prospect, CT 06712

44 Abbott Ter
Waterbury, CT 06702
Phone (203) 755-4870

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 5

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1821534215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241-3 JUDITH LANE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06704",
            "telephone_number": "203-510-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PHOENIX AVE STE 201",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021418",
            "telephone_number": "203-756-8021",
            "fax_number": "888-965-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO MENDEZ",
        "first_name": "AWILDA",
        "middle_name": "ALTAGRACIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.