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NPI 1205613650ActiveIndividual· Nurse Practitioner, Family· Wethersfield, CT
Nurse Practitioner, Family with Hartford Healthcare Medical Group Specialists PLLC and 1 other group, practicing in Wethersfield, Connecticut. Part D covered 30 prescriptions written in 2024, 77% of them generic. Medtronic, Inc. was the largest of 2 companies reporting payments in 2025, $68.49 in all, mostly education. Lists Hartford Hospital as a hospital affiliation.
Overview
| NPI | 1205613650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 11, 2023 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 12359 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 68 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $5,613 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Hartford Healthcare Medical Group Specialists PLLCBridgeport, CT · 1,588 clinicians
- Hartford HospitalHartford, CT · 1,044 clinicians
Hospital affiliation
- Hartford HospitalHartford, CT
Industry payments (Open Payments)
- 2025$68.49 · 2 payments from 2 companies
- 2024$16.75 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $45.00 | 1 |
| E.R. Squibb & Sons, L.L.C. | $23.49 | 1 |
What the 2025 payments were for
- Education$45.00 · 1 payment
- Food and Beverage$23.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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