Nicholas Mudry, - Medicare Nurse Practitioner in Greenwich, CT

Nicholas Mudry, is a medicare enrolled "Nurse Practitioner - Family" in Greenwich, Connecticut. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Yale University and his current practice location is 500 W Putnam Ave Fl 2, Greenwich, Connecticut. You can reach out to his office (for appointments etc.) via phone at (877) 925-3637.

Nicholas Mudry is licensed to practice in Connecticut (license number 12235) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326752684.

Contact Information

Nicholas Mudry,
500 W Putnam Ave Fl 2,
Greenwich, CT 06830-2937
(877) 925-3637
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Mudry
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location500 W Putnam Ave Fl 2, Greenwich, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Mudry graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1326752684
  • Provider Enumeration Date: 01/11/2023
  • Last Update Date: 04/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0941663397
  • Enrollment ID: I20230831004248

Medical Identifiers

Medical identifiers for Nicholas Mudry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326752684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 12235 (Connecticut)Primary
163W00000XRegistered Nurse 143925 (Connecticut)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yale University94360617362644

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. Nicholas Mudry allows following entities to bill medicare on his behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015
Entity NameConnecticut Children's Specialty Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669448882
PECOS PAC ID: 6002720117
Enrollment ID: O20031113000468

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. Nicholas Mudry 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
Nicholas Mudry,
158 Broad St Apt H,
Milford, CT 06460-4758

Ph: () -
Nicholas Mudry,
500 W Putnam Ave Fl 2,
Greenwich, CT 06830-2937

Ph: (877) 925-3637

Reviews and Comments


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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.