Individual provider Active NPI

Debra Skudzienski

  • Family Nurse Practitioner
  • Trumbull, CT
National Provider Identifier
1932903812
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14262 Issued in CT
Practice address
115 Technology Dr Unit C302
Trumbull, CT 06611-6347
Phone
(203) 445-7093
Fax
(203) 638-7991
NPI assigned
Apr 1, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 14262 CT Primary

Addresses

Primary practice location

115 Technology Dr Unit C302
Trumbull, CT 06611-6347

Mailing address

1290 Silas Deane Hwy
HHC-Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-5507

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
I20250904000029 CT Practitioner - Nurse Practitioner 5193227783 Reassigns benefits to 1 organization

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
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

115 Technology Dr
Trumbull, CT 06611-6347
Phone (203) 445-7093

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
14262CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 15, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 15, 2025 Accepting new patients
Hartford Healthcare Medical Group, Inc PastSince Sep 14, 2025 Accepting new patients

Locations

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

425 Post Rd
Fl 2
Fairfield, CT 06824
Phone (203) 254-1576

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

115 Technology Dr
Unit C300
Trumbull, CT 06611
Phone (203) 445-7093

115 Technology Dr
Unit C302
Trumbull, CT 06611
Phone (203) 445-7093

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1932903812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC-CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-5507",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR UNIT C302",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116347",
            "telephone_number": "203-445-7093",
            "fax_number": "203-638-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUDZIENSKI",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.