Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL J NOLAN PA
NPI 1386664787
Physician Assistant - Surgical in Waterbury, CT

Q: What is Michael Nolan's NPI number?

The NPI number for Michael Nolan is 1386664787. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Michael Nolan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Nolan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.

Active since July 20, 2006PECOS Enrolled

56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6360(203) 709-5118 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Mar 11, 2025, Mar 7, 2025 (3 updates tracked since 2025).

On this page

About Michael J Nolan Pa NPPES

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

MICHAEL J NOLAN PA (NPI 1386664787) is an individual surgical provider in Waterbury, Connecticut, licensed in Connecticut (001644) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1386664787

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMICHAEL J NOLANCredential: PA

Location Address56 FRANKLIN STWaterbury, CT 06706-1253

Mailing Address56 Franklin StWaterbury, CT 06706-1253 · (203) 709-6360 · Fax (203) 709-5118

Phone(203) 709-6360

Fax(203) 709-5118

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1386664787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CT · 001644

Also ListedPhysician AssistantTaxonomy 363A00000X · License 1644 (CT)

56 FRANKLIN ST, Waterbury, CT 06706

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1263 Farmington AveFarmington, CT 06030-8063 · Phone (860) 679-8080 · Fax (860) 679-1430

Location 2595 Straits TpkeWatertown, CT 06795-3393 · Phone (844) 482-7285

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Nolan Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234166356

PECOS Enrollment IDI20050720000885

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.

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.

CHARIS WIPFLER

Nurse Practitioner (Critical Care Medicine)