Marielle Hellerud Khuen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020090994 Issued in CT

Practice address

39 Fifth St
Norwalk, CT 06855-2402

Phone

(178) 145-4677

NPI assigned

Oct 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Specialists of CT PCGroup PAC ID 8527121755, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ear Nose and Throat Specialists of CT PC

  • Specialist
  • Hamden, CT
  • NPI 1013058866
  Medicare reassignment Care Compare group NPD
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  NPD (past)

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1962002691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FIFTH ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068552402",
            "telephone_number": "178-145-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FIFTH ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068552402",
            "telephone_number": "178-145-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUEN",
        "first_name": "MARIELLE",
        "middle_name": "HELLERUD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "2020090994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naureen Khan, M.D
• Sarah K Khan, MD
• Bhavna Khandpur, M.D.
• Vladislav Khlopine, DPT
• Akhil Khosla, M.D.
• Suruchi Khullar, RPH
• Tanvi Khurana, M.D.
• Kent J Kilbourn, PA
• Amie Kim
• Joo Hyun Andrew Kim, DDS

• Family Nurse Practitioner in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.