Michelle Dara Widdows, PMHNP-C - Medicare Nurse Practitioner in Trumbull, CT

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Michelle Dara Widdows, PMHNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Trumbull, Connecticut. Her current practice location is 105 Technology Dr Fl 2, Trumbull, Connecticut. You can reach out to her office (for appointments etc.) via phone at (475) 228-0961.

Michelle Dara Widdows is licensed to practice in Connecticut (license number 12.014410) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669830139.

Contact Information

Michelle Dara Widdows, PMHNP-C
105 Technology Dr Fl 2,
Trumbull, CT 06611-6348
(475) 228-0961
(203) 283-6490

Map and Direction




Provider's Profile

Full NameMichelle Dara Widdows
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location105 Technology Dr Fl 2, Trumbull, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669830139
  • Provider Enumeration Date: 01/29/2016
  • Last Update Date: 06/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7719408848
  • Enrollment ID: I20250305003534

Medical Identifiers

Medical identifiers for Michelle Dara Widdows such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669830139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 606396 (New York)Secondary
163W00000XRegistered Nurse 10.146391 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 12.014410 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Dara Widdows allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220512000081

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Dara Widdows is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle Dara Widdows, PMHNP-C
105 Technology Dr Fl 2,
Trumbull, CT 06611-6348

Ph: (475) 228-0961		Michelle Dara Widdows, PMHNP-C
105 Technology Dr Fl 2,
Trumbull, CT 06611-6348

Ph: (475) 228-0961

Reviews and Comments


Nurse Practitioner Nurses in Trumbull, CT

Miranda R Vincent, A.P.R.N.
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Practice Location: 15 Corporate Dr, Trumbull, CT 06611
Phone: 203-452-8322    
Mrs. Laura K Degeorge, APRN, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 115 Technology Dr, Trumbull, CT 06611
Phone: 203-445-7093    Fax: 203-638-7981
Susanna Dahl Cronmiller, F.N.P, APRN
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Practice Location: 5520 Park Ave, Trumbull, CT 06611
Phone: 203-502-8400    
Mrs. Christy A Hendrie, APRN, MSN, NP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 60 Clover Hill Rd, Trumbull, CT 06611
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Amanda Jane Guarniere, NP
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Practice Location: 6515 Main St # 1a, Trumbull, CT 06611
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Jennifer Zhang, APRN
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Medicare: Medicare Enrolled
Practice Location: 5520 Park Ave, Trumbull, CT 06611
Phone: 203-502-8400    
Katherine Aileen Duarte, APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 5520 Park Ave, Trumbull, CT 06611
Phone: 203-372-6700    Fax: 203-372-6706

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.