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

THERESA HOWARD
NPI 1922974633
Nurse Practitioner - Family in Hamden, CT

Active since October 11, 2025PECOS EnrolledAccepts Medicare Assignment
3208 WHITNEY AVE STE 1, HAMDEN, CT 06518(203) 826-2042 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Oct 11, 2025 (2 updates tracked since 2025).

About Theresa Howard NPPES

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

THERESA HOWARD (NPI 1922974633) is an individual family provider in Hamden, Connecticut, licensed in Connecticut (15490) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922974633
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA HOWARD
Location Address3208 WHITNEY AVE STE 1Hamden, CT 06518-2158
Mailing Address2335 Dixwell Ave Ste 2Hamden, CT 06514-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 11, 2025
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1922974633 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
License✔ Licensed in CT · 15490
3208 WHITNEY AVE STE 1, Hamden, CT 06518

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

Theresa Howard 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 ID6800361528
PECOS Enrollment IDI20260410001021
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 Reassignments

8

Medicare enrollment records show Theresa Howard reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

7.0 mi
Urgent Care
527 ELM ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 12 clinicians in this Medicare group
Family Medicine
80 PHOENIX AVE
Waterbury, CT 06702
  • Reassigned Medicare billing, Connecticut enrollment
  • 97 clinicians in this Medicare group
Urgent Care
389 BRIDGEPORT AVE
Shelton, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group
Urgent Care
365 QUEEN ST
Southington, CT 06489
  • Reassigned Medicare billing, Connecticut enrollment
  • 62 clinicians in this Medicare group
Urgent Care
57 MONROE TPKE
Trumbull, CT 06611
  • Reassigned Medicare billing, Connecticut enrollment
  • 19 clinicians in this Medicare group
Urgent Care
161 BOSTON AVE
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 44 clinicians in this Medicare group
Family Medicine
4200 MAIN STREET
Bridgeport, CT 06606
  • Reassigned Medicare billing, Connecticut enrollment
  • 41 clinicians in this Medicare group
Urgent Care
1910 BLACK ROCK TPKE
Fairfield, CT 06825
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 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 06518 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3208 WHITNEY AVE STE 1
HAMDEN, CT 06518
Nurse Practitioner (Psychiatric/Mental Health)
3208 WHITNEY AVE STE 1
HAMDEN, CT 06518
Counselor (Professional)
3208 WHITNEY AVE STE 1
HAMDEN, CT 06518
Community/Behavioral Health
3208 WHITNEY AVE STE 1
HAMDEN, CT 06518

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 Theresa Howard's NPI number?

The NPI number for Theresa Howard is 1922974633. It was assigned to this individual provider in the NPPES registry on October 11, 2025.

Where is Theresa Howard located?

Theresa Howard practices at 3208 Whitney Ave Ste 1, Hamden, CT 06518. The listed phone number is (203) 826-2042.

What is Theresa Howard's specialty?

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

Is Theresa Howard enrolled in Medicare?

Yes. Theresa Howard 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 Theresa Howard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Howard reassigns Medicare benefits to 8 organizations: Qmg7,llc (New Haven, CT), Staywell Health Care, Inc. (Waterbury, CT), Qmg3, LLC (Shelton, CT), AFC Physicians Of Connecticut, PC (Southington, CT), Qmg5,llc (Trumbull, CT) and 3 more organizations, listed in the Medicare section above. 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 Theresa Howard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Howard accept?

Health plans from Anthem Blue Cross and Blue Shield list Theresa Howard 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 Theresa Howard was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.