DR. MICHAEL B VICTOR DNP
NPI 1205553252
Nurse Practitioner - Psychiatric/Mental Health in West Hartford, CT

Active since October 20, 2022PECOS Enrolled
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110(844) 830-7233 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2024, Oct 20, 2022 (2 updates tracked since 2022).

About Dr. Michael B Victor Dnp NPPES

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

DR. MICHAEL B VICTOR DNP (NPI 1205553252) is an individual psychiatric/mental health provider in West Hartford, Connecticut, licensed in New York (F404552) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205553252
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. MICHAEL B VICTORCredential: DNP
Location Address430 NEW PARK AVE STE 102West Hartford, CT 06110-1142
Mailing Address430 New Park Ave Ste 102West Hartford, CT 06110-1142 · (844) 830-7233
Sole ProprietorNo
Enumeration DateOctober 20, 2022
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1205553252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NY · F404552✔ Licensed in CO · APN.0999111-NP✔ Licensed in CT · 12125
430 NEW PARK AVE STE 102, West Hartford, CT 06110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael B Victor Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Victor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
Psychiatry
5904 SHERIDAN DR, STE 1
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06110 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.

Other Providers at the Same Location NPPES 15

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

Marriage & Family Therapist
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Social Worker
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Counselor (Mental Health)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Counselor (Professional)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Counselor (Professional)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Counselor (Professional)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Nurse Practitioner (Psychiatric/Mental Health)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Social Worker (Clinical)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110

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 Michael Victor's NPI number?

The NPI number for Michael Victor is 1205553252. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Michael Victor located?

Michael Victor practices at 430 New Park Ave Ste 102, West Hartford, CT 06110. The listed phone number is (844) 830-7233.

What is Michael Victor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Victor enrolled in Medicare?

Yes. Michael Victor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Victor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Victor reassigns Medicare benefits to 2 organizations: Valera Medical, P.C. (Brooklyn, NY) and (Williamsville, NY). Each 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 Michael Victor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Victor was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.