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NICHOLAS MUDRY
NPI 1326752684
Nurse Practitioner - Family in Greenwich, CT

Active since January 11, 2023PECOS EnrolledAccepts Medicare Assignment
500 W PUTNAM AVE FL 2, GREENWICH, CT 06830(877) 925-3637 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Aug 17, 2023, Jan 11, 2023 (3 updates tracked since 2023).

About Nicholas Mudry NPPES

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

NICHOLAS MUDRY (NPI 1326752684) is an individual family provider in Greenwich, Connecticut, licensed in Connecticut (12235) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326752684
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS MUDRY
Location Address500 W PUTNAM AVE FL 2Greenwich, CT 06830-2937
Mailing Address158 Broad St Apt HMilford, CT 06460-4758
Phone(877) 925-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 11, 2023
Last NPPES UpdateApril 24, 20263 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1326752684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 12235
Also ListedRegistered NurseTaxonomy 163W00000X · License 143925 (CT)
500 W PUTNAM AVE FL 2, Greenwich, CT 06830
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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 and accepts Medicare assignment

Nicholas Mudry 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 ID941663397
PECOS Enrollment IDI20230831004248
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 06830 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 2

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

MISS CATHERINE IRENE GINGRAS LCSW
Social Worker (Clinical)
500 W PUTNAM AVE FL 2
GREENWICH, CT 06830
Western Connecticut Planning Region (475) 227-4371
DR. MARISA YUE-TING SU MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
500 W PUTNAM AVE FL 2
GREENWICH, CT 06830
Western Connecticut Planning Region (877) 925-3637

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 Nicholas Mudry's NPI number?

The NPI number for Nicholas Mudry is 1326752684. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Nicholas Mudry located?

Nicholas Mudry practices at 500 W Putnam Ave Fl 2, Greenwich, CT 06830. The listed phone number is (877) 925-3637.

What is Nicholas Mudry's specialty?

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

Is Nicholas Mudry enrolled in Medicare?

Yes. Nicholas Mudry 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 Nicholas Mudry was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.