Individual provider Active NPI

Steffy Sengphachanh, APRN

  • Family Nurse Practitioner
  • Bristol, CT
National Provider Identifier
1891546370
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13109 Issued in CT
Practice address
395 N Main St
Bristol, CT 06010-4924
Phone
(860) 585-5000
Fax
(860) 585-5050
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13109 CT Primary

Addresses

Primary practice location

395 N Main St
Bristol, CT 06010-4924

Mailing address

33 Wilson Ave
Meriden, CT 06450-6915

Other practice location 1

525 Buckland Rd
South Windsor, CT 06074-3746
Phone (860) 644-4241

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
I20240717001956 CT Practitioner - Nurse Practitioner 3971048695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

525 Buckland Rd
South Windsor, CT 06074-3746
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Jan 8, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2024 Accepting new patients
Community Health Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2024 Accepting new patients
Community Health Center Inc Current Accepting new patients

Locations

358 W Main St
Avon, CT 06001
Phone (860) 678-8605

395 N Main St
Bristol, CT 06010
Phone (860) 585-5000

905 S Main St
Cheshire, CT 06410
Phone (203) 272-3255

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

875 Enfield St
Enfield, CT 06082
Phone (860) 741-3013

2639 Main St
Glastonbury, CT 06033
Phone (860) 389-2727

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

162 Washington Ave
North Haven, CT 06473
Phone (203) 239-4071

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

525 Buckland Rd
South Windsor, CT 06074
Phone (860) 633-4668

133 Scovill St
Ste 102
Waterbury, CT 06706
Phone (203) 270-5575

133 Scovill St
Ste 101
Waterbury, CT 06706
Phone (203) 709-3850

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1891546370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WILSON AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104924",
            "telephone_number": "860-585-5000",
            "fax_number": "860-585-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Buckland Rd",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060743746",
            "country_code": "US",
            "telephone_number": "860-644-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENGPHACHANH",
        "first_name": "STEFFY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.