MR. ANDREW JOHN PAULSON MS, ANP-BC
NPI 1760734552
Nurse Practitioner - Adult Health in Derby, CT

Active since October 04, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
130 DIVISION ST, DERBY, CT 06418(203) 732-1570 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew John Paulson Ms, Anp-bc NPPES

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

MR. ANDREW JOHN PAULSON MS, ANP-BC (NPI 1760734552) is an individual adult health provider in Derby, Connecticut, licensed in Connecticut (5173) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1760734552
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. ANDREW JOHN PAULSONCredential: MS, ANP-BC
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address130 Division StDerby, CT 06418-1326 · (203) 732-1570
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 4, 2012
Last NPPES UpdateNovember 12, 2015
NPI 1760734552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 5173
130 DIVISION ST, Derby, CT 06418

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

Mr. Andrew John Paulson Ms, Anp-bc 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 ID9739330762
PECOS Enrollment IDI20121208000015
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
289 services137 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
111 services106 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
49 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services40 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418

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 Andrew Paulson's NPI number?

The NPI number for Andrew Paulson is 1760734552. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Andrew Paulson located?

Andrew Paulson practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-1570.

What is Andrew Paulson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Andrew Paulson enrolled in Medicare?

Yes. Andrew Paulson 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.

Is Andrew Paulson affiliated with any hospitals?

According to CMS data, Andrew Paulson is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Andrew Paulson was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.