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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FARA PHILIDOR APRN
NPI 1275451502
Nurse Practitioner in New London, CT

Active since July 06, 2026PECOS Enrolled
1 SHAWS CV, NEW LONDON, CT 06320(860) 447-8304(860) 443-8720 Get Directions Write a Review

NPPES record added: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Fara Philidor Aprn NPPES

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

FARA PHILIDOR APRN (NPI 1275451502) is an individual nurse practitioner in New London, Connecticut, licensed in Connecticut (17840) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275451502
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFARA PHILIDORCredential: APRN
Location Address1 SHAWS CVNew London, CT 06320-4902
Mailing Address19 Grand StMiddletown, CT 06457-2705 · (860) 347-6971 · Fax (860) 343-7379
Phone(860) 447-8304
Fax(860) 443-8720
Sole ProprietorNo
Enumeration DateJuly 6, 2026
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1275451502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 17840
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 SHAWS CV, New London, CT 06320
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fara Philidor Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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 20

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

SKYLA YOUNG CEDANO APRN
Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MELISSA MILVENAN RN, APRN
Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
STEPHANIE HOWELLS RDH
Dental Hygienist
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
THERESA GRACE BOOTHBY MSN, APRN, NP-C
Nurse Practitioner (Family)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
LAURIE FELKER RN
Registered Nurse
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MARIE SALVEMINI LPC
Counselor (Professional)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MEREDITH WANIK APRN
Nurse Practitioner (Psychiatric/Mental Health)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MS. ERICA PRESTON PSYD
Psychologist (Clinical)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304

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 Fara Philidor's NPI number?

The NPI number for Fara Philidor is 1275451502. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Fara Philidor located?

Fara Philidor practices at 1 Shaws Cv, New London, CT 06320. The listed phone number is (860) 447-8304.

What is Fara Philidor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fara Philidor enrolled in Medicare?

Yes. Fara Philidor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fara Philidor was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.