MANDY DEMERCHANT DNP APRN NPI 1366994956

NPI Information

  • NPI: 1366994956
  • Provider Name: MANDY DEMERCHANT, DNP, APRN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 PARK ST
    NEW HAVEN, CT
    ZIP 06511
  • Phone: (203) 200-3379

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NPI Details

Mandy Demerchant, DNP, APRN is a gerontology nurse practitioner in New Haven, CT with 9 years of experience. Mandy Demerchant, DNP, APRN NPI is 1366994956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 PARK ST
NEW HAVEN, CT
ZIP 06511-474
Phone: (203) 200-3379
Fax: (203) 200-3390

The NPI 1366994956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 10/29/2016 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAPRN01475RHODE ISLANDNo
2363LG0600XNurse PractitionerGerontologyAPRN01475RHODE ISLANDNo
3363LP2300XNurse PractitionerPrimary CareAPRN01475RHODE ISLANDNo
4363LG0600XNurse PractitionerGerontology6991CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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