Individual provider Active NPI

Theodora Fraser McPherson, PA

  • Physician Assistant
  • New Haven, CT
National Provider Identifier
1992192827
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3310 Issued in CT
Practice address
151 Clifton St
New Haven, CT 06513-3319
Phone
(203) 469-3816
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3310 CT Primary

Addresses

Primary practice location

151 Clifton St
New Haven, CT 06513-3319

Mailing address

151 Clifton St
New Haven, CT 06513-3319

Other practice location 1

469 Migeon Ave
Torrington, CT 06790-4643
Phone (860) 489-0931 ext. 1102

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
I20150604000449 CT Practitioner - Physician Assistant 2961723895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health and Wellness Center of Greater Torrington IncGroup PAC ID 2365436847, shared by 2 NPIs, 22 clinicians

Practice addresses (Care Compare)

469 Migeon Ave
Torrington, CT 06790-4643
Phone (860) 489-0931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3310CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Woundcare Institute Connecticut PLLC CurrentSince Oct 1, 2025 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Feb 16, 2019 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Feb 16, 2019 Accepting new patients
New Horizon Healthcare, LLC Physician Assistant PastSince Feb 16, 2020 Accepting new patients

Locations

21 Grand St
Hartford, CT 06106

1266 E Main St
Ste 700R
Stamford, CT 06902
Phone (203) 340-0911

Organizations & group practices 5

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1992192827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CLIFTON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CLIFTON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133319",
            "telephone_number": "203-469-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 Migeon Ave",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067904643",
            "country_code": "US",
            "telephone_number": "860-489-0931 x1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASER MCPHERSON",
        "first_name": "THEODORA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.