Danielle Petrowski

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10993 Issued in CT

Practice address

23 Clara Dr
Mystic, CT 06355-1959

Phone

(860) 572-5782

NPI assigned

Sep 13, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

86.54

Promoting interoperability

99.98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danielle.petrowski.1@24324.direct.athenahealth.com

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD
• Lavoie Practice of Pediatrics

  • Pediatrics Physician
  • Norwich, CT
  • NPI 1265393011
  NPD Authorized official
• Mill Hill Medical Consultants Inc

  • Hospitalist Physician
  • Greenwich, CT
  • NPI 1841520293
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1891417242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HAWLEY LN FL 3",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CLARA DR",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551959",
            "telephone_number": "860-572-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROWSKI",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891417242",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891417242",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaetano Michael Patalano, MHC
• Melissa Paul, DPT
• Sumeet Sanjeev Pawar, M.D.
• Peace Connection PLLC
• Pendleton SNF Operations LLC
• Harold Eugene Phillips Jr., M.D.
• Gabrielle Eden Pierce, PA-C
• Katherine Podraza, MD PHD
• Emily Grace Pollard, BS
• Kathleen Theresa Poole, M.S., L.AC.

• Family Nurse Practitioner in Mystic, CT
• Providers in Mystic, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.

Verify at the official NPI Registry.