Megan Joan Carlucci, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Manchester, CT
NPI 1831734987 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1831734987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 8527 (CT)
- Practice address
- 360 Tolland Tpke Ste 1a
Manchester, CT 06042-1759 - Phone
- (860) 730-7181
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Connecticut School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Connecticut Vascular Center LLC
Practice addresses (Care Compare)
360 Tolland Tpke
Suite 1a
Manchester, CT 06042-1759
Phone (860) 533-6551
Hospital & facility affiliations
- Manchester Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.63 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191209000261 | CT | Practitioner - Nurse Practitioner | 6507299435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8527 | CT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Connecticut Vascular Center, LLC | Current |
Accepting new patients |
Locations
47 Palomba Dr
Ste 202
Enfield, CT 06082
Phone (860) 247-3279
360 Tolland Tpke
Ste 1A
Manchester, CT 06042
Phone (860) 533-6551
79 Wawecus St
Ste 104
Norwich, CT 06360
Phone (860) 237-5458
6 Research Dr
Ste 105
Shelton, CT 06484
Phone (203) 210-6717
495 Hawley Ln
Ste 2A
Stratford, CT 06614
Phone (203) 210-6333
595 Straits Tpke
Ste 2
Watertown, CT 06795
Phone (203) 210-6340
Interoperability endpoints
- mfeehan@vascularexperts.directbygreenway.com
- mcarlucci@vascularexperts.directbygreenway.com
- megan.carlucci.1@32135.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8527 | CT | |
| Primary Care Nurse Practitioner | 363LP2300X | 8527 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 8527 | CT | Yes |
Addresses
Primary practice location
360 Tolland Tpke Ste 1a
Manchester, CT 06042-1759
Mailing address
6 Research Dr Ste 105
Shelton, CT 06484-6228
Other names
- Megan Joan Feehan
Other providers in Manchester, CT
- Care at Your Doorstep Homecare Agency LLC
- Marissa Caye Carignan
- Kathleen A Caringi
- Maximilian Carlson
- Richard D. Carlton
- Carolyn D Frye LCSW LLC
- Caitlyn Lee Carpenter
- Jamal Langford Carr Jr.
- Monica Vanessa Carrillo
- Robert Francis Carroll II
All providers in Manchester, CT · Adult Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.