STAYWELL HEALTH CARE, INC.
NPI 1154342335
Family Medicine in Waterbury, CT

Active since July 22, 2006
80 PHOENIX AVE, WATERBURY, CT 06702(203) 756-8021(203) 596-9038 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2020, Mar 17, 2018 (2 updates tracked since 2018).

About Staywell Health Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAYWELL HEALTH CARE, INC. (NPI 1154342335) is a healthcare organization registered as a family medicine in Waterbury, Connecticut and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Waterbury and lists Donald Thompson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1154342335
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTAYWELL HEALTH CARE, INC.
Location Address80 PHOENIX AVEWaterbury, CT 06702-1418
Mailing Address80 Phoenix Ave, Suite 201Waterbury, CT 06702-1418 · (203) 756-8021 · Fax (203) 596-9038
Fax(203) 596-9038
Organization SubpartNo
Authorized OfficialDonald ThompsonPresident & Ceo · (203) 756-8021
Enumeration DateJuly 22, 2006
Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration
✔ NPI 1154342335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 0360 (CT)
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 0736 (CT)
80 PHOENIX AVE, Waterbury, CT 06702

Secondary Practice Location 1

Location 1402 E Main StWaterbury, CT 06702-1701 · Phone (203) 756-8021 · Fax (203) 596-9038

Other Identifiers 3

Medicaid004235976CT
Medicaid004235968CT
Medicaid004235984CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staywell Health Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

96

Medicare enrollment records show 96 clinicians reassign Medicare billing to Staywell Health Care, Inc., which bills Medicare for the services they deliver. Of these, 18 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner25
Internal Medicine16
Clinical Social Worker12
Dentist8
Pediatric Medicine8
Oral Surgery5
Certified Nurse Midwife (CNM)3
Nephrology3
11 other specialties16

Nearest to this location (20)

See all 96
Nurse Practitioner
NPI 1437995727
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1912252115
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1710999198
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851834147
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255056990
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1144676438
80 PHOENIX AVE STE 201
Waterbury, CT 06702
(203) 756-8021
✔ PECOSSame address
Nurse Practitioner
NPI 1790543486
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1285918979
80 PHOENIX AVE SUITE 201
Waterbury, CT 06702
(203) 756-8021
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1942202890
80 PHOENIX AVE SUITE 201
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1437360039
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOSSame address
Pediatric Medicine
NPI 1912343278
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOSSame address
Nurse Practitioner
NPI 1902142078
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1629289525
80 PHOENIX AVE SUITE 201
Waterbury, CT 06702
(203) 756-8021
✔ PECOSSame address
Internal Medicine
NPI 1518994359
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1609941681
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922610187
80 PHOENIX AVE STE 201
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548025034
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437508264
80 PHOENIX AVE
Waterbury, CT 06702
(203) 756-8021
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1780120295
80 PROSPECT ST.
Waterbury, CT 06702
(203) 528-6385
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1629644422
141 E MAIN ST
Waterbury, CT 06702
(203) 574-9000
✔ PECOS✔ Accepts Medicare0.1 mi
See all 96 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staywell Health Care, Inc.'s NPI number?

The NPI number for Staywell Health Care, Inc. is 1154342335. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Staywell Health Care, Inc. located?

Staywell Health Care, Inc. is located at 80 Phoenix Ave, Waterbury, CT 06702. The listed phone number is (203) 756-8021.

What is Staywell Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Staywell Health Care, Inc. enrolled in Medicare?

Yes. Staywell Health Care, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Staywell Health Care, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 96 clinicians in 19 Medicare specialties reassign their Medicare billing to Staywell Health Care, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Internal Medicine (16) and Clinical Social Worker (12). Of these, 18 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Staywell Health Care, Inc. was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.