Individual provider Active NPI

Wendy Sperry, FNP

  • Family Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1912425166
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7218 Issued in CT
Practice address
525 Buckland Rd
South Windsor, CT 06074-3746
Phone
(860) 644-4241
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 7218 CT Primary

Addresses

Primary practice location

525 Buckland Rd
South Windsor, CT 06074-3746

Mailing address

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

Other practice location 1

3514 Main St
Coventry, CT 06238-1551
Phone (860) 742-3543

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
I20171106001499 CT Practitioner - Nurse Practitioner 6002172186 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7218CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Oct 7, 2021 Accepting new patients

Locations

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

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

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

Networks

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

Organizations & group practices 2

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1912425166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743746",
            "telephone_number": "860-644-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743746",
            "telephone_number": "860-644-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3514 Main St",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "CT",
            "postal_code": "062381551",
            "country_code": "US",
            "telephone_number": "860-742-3543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.