Individual provider Active NPI

Andjine Vanbokkelen

  • Family Nurse Practitioner
  • Groton, CT
National Provider Identifier
1851813182
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15458 Issued in CT
Practice address
85 Poheganut Dr
Groton, CT 06340-3252
Phone
(860) 448-6303
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15458 CT Primary
Family Nurse Practitioner 363LF0000X AP60889503 WA
Nurse Practitioner 363L00000X ARNP9279831 FL
Nurse Practitioner 363L00000X AP60889503 WA

Addresses

Primary practice location

85 Poheganut Dr
Groton, CT 06340-3252

Mailing address

85 Poheganut Dr
Groton, CT 06340-3252
Phone (860) 448-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, NM, TX, CT, FL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20181126000861 WA Practitioner - Nurse Practitioner 7113271420 Reassigns benefits to 1 organization
I20200409000653 CA Practitioner - Nurse Practitioner 7113271420 Reassigns benefits to 1 organization
I20210208002006 NM Practitioner - Nurse Practitioner 7113271420 Reassigns benefits to 1 organization
I20221205000018 TX Practitioner - Nurse Practitioner 7113271420 Reassigns benefits to 1 organization
I20251112001972 CT Practitioner - Nurse Practitioner 7113271420 Reassigns benefits to 2 organizations
I20260513003336 FL Practitioner - Nurse Practitioner 7113271420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians
WCG CT PLLCGroup PAC ID 8628547577, 4 clinicians

Practice addresses (Care Compare)

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3899

72 Salmon Brook Dr
Glastonbury, CT 06033-2131
Phone (973) 427-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9279831FLMDNurse Practitioner
AP60889503WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Feb 1, 2021 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Ridgecrest Regional Hospital CurrentSince Jun 30, 2025 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Urgent Care Medical Associates, LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Jun 30, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Feb 1, 2021 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jul 26, 2022 Accepting new patients
WRK Ventures, LLC Past Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients

Locations

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

21B Killingworth Tpke
Clinton, CT 06413
Phone (959) 356-2106

900 Main St S
Ste 100
Southbury, CT 06488
Phone (203) 262-1911

1300 Hospital Loop
Belcourt, ND 58316

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

1300 Enterprise Rd
Socorro, NM 87801
Phone (575) 835-4444

4100 W 150th St
#3
Cleveland, OH 44135

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: andjine.vanbokkelen.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1851813182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403252",
            "telephone_number": "860-448-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403252",
            "telephone_number": "860-448-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBOKKELEN",
        "first_name": "ANDJINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "15458",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60889503",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9279831",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60889503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.