BRETT ROBERTSON
NPI 1194100065
Nurse Practitioner - Family in Willimantic, CT

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment
40 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 450-7471(860) 450-0213 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brett Robertson NPPES

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

BRETT ROBERTSON (NPI 1194100065) is an individual family provider in Willimantic, Connecticut, licensed in Connecticut (6156) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194100065
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRETT ROBERTSON
Location Address40 MANSFIELD AVEWillimantic, CT 06226-2018
Mailing Address40 Mansfield AveWillimantic, CT 06226-2018 · (860) 450-7471 · Fax (860) 450-0213
Fax(860) 450-0213
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 21, 2015
NPI 1194100065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 6156
40 MANSFIELD AVE, Willimantic, CT 06226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brett Robertson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395052542
PECOS Enrollment IDI20150921001198
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers18 claims54 services$5.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner (Family)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Student in an Organized Health Care Education/Training Program
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Counselor
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner (Psychiatric/Mental Health)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226

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 Brett Robertson's NPI number?

The NPI number for Brett Robertson is 1194100065. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Brett Robertson located?

Brett Robertson practices at 40 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 450-7471.

What is Brett Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brett Robertson enrolled in Medicare?

Yes. Brett Robertson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brett Robertson was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.