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CRISTINA MARIE VERGARA
NPI 1396380655
Nurse Practitioner - Family in Danbury, CT

Active since November 11, 2019PECOS Enrolled
94.24/100
CMS Quality Rating
25 GERMANTOWN RD, DANBURY, CT 06810(203) 794-5620 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2023, Jun 3, 2021, Nov 11, 2019 (3 updates tracked since 2019).

About Cristina Marie Vergara NPPES

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

CRISTINA MARIE VERGARA (NPI 1396380655) is an individual family provider in Danbury, Connecticut, licensed in Connecticut (11693) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396380655
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRISTINA MARIE VERGARA
Location Address25 GERMANTOWN RDDanbury, CT 06810-5036
Mailing Address1275 York AveNew York, NY 10065-6007
Phone(203) 794-5620
Sole ProprietorNo
Enumeration DateNovember 11, 2019
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1396380655 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
Licenses✔ Licensed in CT · 11693✔ Licensed in NY · F344910
25 GERMANTOWN RD, Danbury, CT 06810
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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)

Cristina Marie Vergara 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
227 services181 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
115 services90 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services45 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers19 claims525 services$2.62 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
6 suppliers32 claims857 services$3.63 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
5 suppliers37 claims17,119 services$0.30 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
6 suppliers15 claims6,380 services$0.26 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
6 suppliers77 claims1,399 services$11.13 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
4 suppliers21 claims121 services$219.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARCOS RAMIRO LAMAS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
TERESA A CICHOSZ AGNP-C, CDCES
Nurse Practitioner (Adult Health)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
DR. KRISTEN JACKSON MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
DR. LAWRENCE FISHER M.D.
Specialist
25 GERMANTOWN RD, SUITE 2B
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-0090
MARIE ELENA CORDISCO APRN
Nurse Practitioner (Family)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 764-5620
DR. UMAR RIAZ AHMAD D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
SARAH SCOLPINI MSN, APRN, FNP-BC
Nurse Practitioner (Family)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
DR. BRIAN POLLACK M.D.
Internal Medicine (Cardiovascular Disease)
25 GERMANTOWN RD, SUITE 2B
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-0090

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 Cristina Vergara's NPI number?

The NPI number for Cristina Vergara is 1396380655. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Where is Cristina Vergara located?

Cristina Vergara practices at 25 Germantown Rd, Danbury, CT 06810. The listed phone number is (203) 794-5620.

What is Cristina Vergara's specialty?

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

Is Cristina Vergara enrolled in Medicare?

Yes. Cristina Vergara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cristina Vergara was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.