Nicole D Pumphrey, NP in Groton, CT - Medicare Nurse Practitioner

Nicole D Pumphrey, NP is a medicare enrolled "Nurse Practitioner - Family" in Groton, Connecticut. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mc Diagnostic Of Connecticut, P.c. and her current practice location is 1 Wahoo Ave, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 694-4123.

Nicole D Pumphrey is licensed to practice in Connecticut (license number 10008) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871106179.

Contact Information

	Nicole D Pumphrey, NP
	1 Wahoo Ave, Groton, CT 06349-2324
	(860) 694-4123
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole D Pumphrey
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1 Wahoo Ave, Groton, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole D Pumphrey graduated from nursing school in 2020

NPI Data:

NPI Number: 1871106179
Provider Enumeration Date: 08/26/2020
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 6406262245
Enrollment ID: I20211209001991

Medical Identifiers

Medical identifiers for Nicole D Pumphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871106179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95014789 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	53-79632-032 (Kansas)	Secondary
363LF0000X	Nurse Practitioner - Family	10008 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mc Diagnostic Of Connecticut, P.c.	0941382113	83

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. Nicole D Pumphrey allows following entities to bill medicare on her behalf.

Entity Name	Mc Diagnostic Of Connecticut, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386821932 PECOS PAC ID: 0941382113 Enrollment ID: O20080126000057

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. Nicole D Pumphrey 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 Address	Practice Location Address
Nicole D Pumphrey, NP 931 Goshen Hill Rd Ext, Lebanon, CT 06249-2301 Ph: (661) 706-6546	Nicole D Pumphrey, NP 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-4123

Reviews and Comments

Nurse Practitioner Nurses in Groton, CT

Mrs. Cynthia D L'heureux, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303
Maria Kristine Tompkins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 491 Gold Star Hwy, Groton, CT 06340 Phone: 860-445-5107
Julia Lauren Bondy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Poquonnock Rd, Groton, CT 06340 Phone: 860-887-5970
Dr. John Anthony Hoyos, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave Bldg 449, Groton, CT 06349 Phone: 860-694-4123
Kathryn Walck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-0144
Ms. Gail Lee Sanjuan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590
Angela Lyn Prentiss, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Hazelnut Hill Rd, Groton, CT 06340 Phone: 860-446-8265

Nicole D Pumphrey, NP - Medicare Nurse Practitioner in Groton, CT