New England Pain Institute LLC
NPI 1609459858ActiveOrganization· Nurse Practitioner, Family· Glastonbury, CT
Nurse Practitioner, Family in Glastonbury, Connecticut, registered in NPPES in May 2021. The authorized official on file is Damon P. Walton, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609459858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2021 |
| Last updated in NPPES | May 16, 2022 |
| Certified by provider | May 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
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 Part B Supplier - Clinic/Group Practice (CT) |
|---|
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