Active NPI
Andjine Vanbokkelen
- Family Nurse Practitioner
- Groton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15458
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9279831 | FL | MD | Nurse Practitioner |
| AP60889503 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Urgent Care Medical Associates, LLC | Nurse Practitioner | Current | Accepting new patients |
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Washington PLLC | Nurse Practitioner | Current | Accepting new patients |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Quentin N Burdick Comprehensive Health Care Facility | Current | 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
- 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.
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
-
- Internal Medicine Physician
- Glastonbury, CT
- NPI 1033058987
-
- Urgent Care Clinic/Center
- Brookfield, CT
- NPI 1730479254
Nurse Practitioner
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
TX
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
Nurse Practitioner
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
dba PMS Engagement Center
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1780031617
-
dba Ridgecrest Regional Hospital Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Ridgecrest, CA
- NPI 1164067971
-
dba China Lake Community Health Clinic
- Rural Health Clinic/Center
- Ridgecrest, CA
- NPI 1639448400
-
dba Urgent Care of Southbury
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.