Active NPI
Petra Marija Vidmar, APRN
- Family Nurse Practitioner
- Danbury, CT
National Provider Identifier
1881544740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 114266
- Practice address
- 12 Capitola Rd
Danbury, CT 06811-2911 - Phone
- (203) 994-1026
- NPI assigned
- Jan 30, 2026
- Last updated
- Aug 10, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 359277 | NY | |
| Family Nurse Practitioner | 363LF0000X | 114266 | CT | Primary |
Addresses
Primary practice location
12 Capitola Rd
Danbury, CT 06811-2911
Mailing address
3 Sugar Hollow Rd
Danbury, CT 06810-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5555 Glenridge Connector
Suite 700
Atlanta, GA 30342-1681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114266 | CT | MD | Family Nurse Practitioner |
Organizations & group practices 1
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": "1769731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1881544740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SUGAR HOLLOW RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CAPITOLA RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068112911",
"telephone_number": "203-994-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDMAR",
"first_name": "PETRA",
"middle_name": "MARIJA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-30",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "359277",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "114266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.