MR. ANDREW JOHN PAULSON MS, ANP-BC
NPI 1760734552
Nurse Practitioner - Adult Health in Derby, CT
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Andrew Paulson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 9 clinicians in this Medicare group
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 90 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 479 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.
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.
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, NYPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Andrew Paulson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Paulson reassigns Medicare benefits to 3 organizations: Comprehensive Pain And Headache Treatment Centers, LLC (Derby, CT), Orthopedic Associates Of Hartford,pc (Rocky Hill, CT) and East Post Road Medical Services PC (White Plains, NY). Each 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 Andrew Paulson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Andrew John Paulson, MS, ANP-BC · NPI 1760734552
Adult Health physician in Derby, Connecticut. Individual provider, active in the CMS NPPES registry since October 4, 2012.
## Identity
- **NPI:** 1760734552 (Entity type: Individual)
- **Enumerated:** October 4, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5173 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 DIVISION ST, Derby, CT 06418-1326
- **Phone:** (203) 732-1570
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Comprehensive Pain And Headache Treatment Centers, LLC (NPI 1467672592, Derby, CT); Orthopedic Associates Of Hartford,pc (NPI 1184731366, Rocky Hill, CT); East Post Road Medical Services PC (NPI 1841767274, White Plains, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1760734552) · Data from the CMS NPPES public registry.