Active NPI
Julia Ellen Muldoon
- Family Nurse Practitioner
- Orange, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8699
- Practice address
- 240 Indian River Rd
Orange, CT 06477-3649 - Phone
- (203) 497-3861
- NPI assigned
- Jan 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8699 | CT | Primary |
Addresses
Primary practice location
240 Indian River Rd
Orange, CT 06477-3649
Mailing address
240 Indian River Rd
Orange, CT 06477-3649
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200221002124 | CT | Practitioner - Nurse Practitioner | 8527495019 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Rehab Consultants PLLC
Practice addresses (Care Compare)
1 Emerson Dr
Windsor, CT 06095-3204
Phone (860) 688-6443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Wound Care of Connecticut PLLC | Current | Accepting new patients | |
| Comprehensive Rehab Consultants PLLC | Family | Current | Accepting new patients |
| Impact Health P.C. | Family | Current | Accepting new patients |
| Bristol Hospital Multi Specialty Group, Inc | Past | Accepting new patients |
Locations
23 Fair St
Bristol, CT 06010
Phone (860) 347-6300
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022
1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
CT, Family
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1922648641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 INDIAN RIVER RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 INDIAN RIVER RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773649",
"telephone_number": "203-497-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDOON",
"first_name": "JULIA",
"middle_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "8699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.