MISS MINDY ANNE MILBRUN
NPI 1235784596
Nurse Practitioner - Family in Fairfield, CT

Active since August 05, 2019PECOS EnrolledAccepts Medicare Assignment
564 BLACK ROCK TPKE UNIT C, FAIRFIELD, CT 06825(203) 554-5949 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2025, Aug 5, 2019 (2 updates tracked since 2019).

About Miss Mindy Anne Milbrun NPPES

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

MISS MINDY ANNE MILBRUN (NPI 1235784596) is an individual family provider in Fairfield, Connecticut, licensed in New York (356603) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Port Jefferson, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235784596
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MINDY ANNE MILBRUN
Location Address564 BLACK ROCK TPKE UNIT CFairfield, CT 06825-4744
Mailing Address7751 Belfort Pkwy Ste 120Jacksonville, FL 32256-6921 · (904) 372-3943 · Fax (904) 212-1618
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 5, 2019
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1235784596 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 NY · 356603
564 BLACK ROCK TPKE UNIT C, Fairfield, CT 06825

Secondary Practice Location 1

Location 1200 Belle Terre RdPort Jefferson, NY 11777-1928 · Phone (904) 372-3943 · Fax (904) 212-1618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Mindy Anne Milbrun 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 ID5991200768
PECOS Enrollment IDI20250923003443
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 Reassignment

Medicare enrollment records show Mindy Milbrun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endocrinology, Diabetes & Metabolism
4295 HEMPSTEAD TPKE
Bethpage, NY 11714
  • Reassigned Medicare billing, New York enrollment
  • 11 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 06825 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

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

Home Health
564 BLACK ROCK TPKE UNIT C
FAIRFIELD, CT 06825

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 Mindy Milbrun's NPI number?

The NPI number for Mindy Milbrun is 1235784596. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Mindy Milbrun located?

Mindy Milbrun practices at 564 Black Rock Tpke Unit C, Fairfield, CT 06825. The listed phone number is (203) 554-5949.

What is Mindy Milbrun's specialty?

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

Is Mindy Milbrun enrolled in Medicare?

Yes. Mindy Milbrun 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.

Which organization bills Medicare for Mindy Milbrun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mindy Milbrun reassigns Medicare benefits to Diabetes Management Partners LLC (Bethpage, NY). The 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 Mindy Milbrun'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 Mindy Milbrun was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.