Individual provider Active NPI

Luis Omega Velez Jr., APRN

  • Family Nurse Practitioner
  • Meriden, CT
National Provider Identifier
1861160590
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10195 Issued in CT
Practice address
61 Pomeroy
Meriden, CT 06450-7482
Phone
(203) 694-5351
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10195 CT Primary
Emergency Registered Nurse 163WE0003X 81829 CT

Addresses

Primary practice location

61 Pomeroy
Meriden, CT 06450-7482

Mailing address

61 Pomeroy Ave
Meriden, CT 06450-7482

Other practice location 1

20 York St
New Haven, CT 06510-3220
Phone (203) 688-1610

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
I20220406002195 CT Practitioner - Nurse Practitioner 5092101733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians

Practice addresses (Care Compare)

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81829CTMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Medical Associates, LLC Family CurrentSince Feb 1, 2026 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Urgent Care of Shelton, LLC CurrentSince Feb 1, 2026 Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2024 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

61 Pomeroy Ave
Meriden, CT 06450
Phone (203) 694-5340

236 Boston Post Rd
Orange, CT 06477
Phone (203) 795-4950

795 Bridgeport Ave Ste a
Ste a
Shelton, CT 06484

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

Interoperability endpoints

  • Direct secure messaging: luis.velez@xdr.hhchealthdirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1861160590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 POMEROY AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 POMEROY",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507482",
            "telephone_number": "203-694-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "LUIS",
        "middle_name": "OMEGA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10195",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CT",
            "license": "81829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.