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: October 25, 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
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

Accepted Insurance

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

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.

Medicare Billing Reassignment

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

Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 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 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.

Social Worker (Clinical)
500 W PUTNAM AVE FL 2
GREENWICH, CT 06830
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
500 W PUTNAM AVE FL 2
GREENWICH, CT 06830

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.

Which organization bills Medicare for Nicholas Mudry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Mudry reassigns Medicare benefits to Yale University (New Haven, CT). 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 Nicholas Mudry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Mudry accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicholas Mudry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 6 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.