Individual provider Active NPI

Julia Ellen Muldoon

  • Family Nurse Practitioner
  • Orange, CT
National Provider Identifier
1922648641
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8699 Issued in CT
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

Updated by the provider on Jan 10, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 6800220682, 251 clinicians

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

OrganizationSpecialtyStatusNew patients
Renew Wound Care of Connecticut PLLC CurrentSince Jul 22, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Aug 14, 2025 Accepting new patients
Impact Health P.C. Family CurrentSince Feb 3, 2020 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.

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

Verify at the official NPI Registry.