Individual provider Active NPI

Erica Seebeck, DNP, AGNP-C

  • Primary Care Nurse Practitioner
  • Wilton, CT
National Provider Identifier
1982146148
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
6817 Issued in CT
Practice address
249 Danbury Road
Wilton, CT 06897
Phone
(203) 762-3353
Fax
(203) 761-8563
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 6817 CT Primary

Addresses

Primary practice location

249 Danbury Road
Wilton, CT 06897

Mailing address

249 Danbury Rd
Wilton, CT 06897-4075
Phone (203) 762-3353

Other practice location 1

195 Danbury Rd
Davenport Building, Suite 140
Wilton, CT 06897-4075
Phone (203) 762-3353

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
I20170112001203 CT Practitioner - Nurse Practitioner 9638451321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

195 Danbury Rd
Wilton, CT 06897-4075
Phone (203) 563-0230

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Dec 1, 2016 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

195 Danbury Rd
Wilton, CT 06897
Phone (203) 276-8490

195 Danbury Rd
Ste 140
Wilton, CT 06897
Phone (203) 762-3353

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1982146148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974075",
            "telephone_number": "203-762-3353",
            "fax_number": "203-761-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 DANBURY ROAD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-762-3353",
            "fax_number": "203-761-8563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Danbury Rd",
            "address_2": "Davenport Building, Suite 140",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068974075",
            "country_code": "US",
            "telephone_number": "203-762-3353",
            "fax_number": "203-761-8563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEBECK",
        "first_name": "ERICA",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.