COLLEEN MCDOUGALL – Family Nurse Practitioner, NPI 1093185308

COLLEEN MCDOUGALL is a healthcare provider. based in Stratford, Connecticut. specializing in Family Nurse Practitioner. They hold a License No. 6302 (CT). The NPI Number for COLLEEN MCDOUGALL is 1093185308

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN MCDOUGALL
NPI
1093185308
Phone
Not provided
Address
205 QUENBY PL
Enumeration Date
29 September 2015
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038805335
Graduation Year
2015 (11 years ago)
PAC ID
6204138266
Group Practice PAC ID
3375596984
Professional Enrollment ID
I20160107001487
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for COLLEEN MCDOUGALL

  • 205 QUENBY PL

    STRATFORD, CT 066141863

    Phone:

    Type: Mailing

  • 185 ASYLUM ST

    HARTFORD, CT 061033408

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160107001487INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes5623$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5027$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2015$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 06614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375596984View full group profile

Reviews

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Frequently asked questions

What is the registry number for COLLEEN MCDOUGALL?
The registry entry for COLLEEN MCDOUGALL shows NPI 1093185308.
Should I treat COLLEEN MCDOUGALL as an active provider?
Patients and plans typically see COLLEEN MCDOUGALL as active in the national extract.
Which specialty label fits COLLEEN MCDOUGALL?
NPPES ties COLLEEN MCDOUGALL to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to COLLEEN MCDOUGALL?
COLLEEN MCDOUGALL is associated with Stratford, Connecticut in the same public data insurers reference.
Can I export COLLEEN MCDOUGALL's record?
You can download the official NPPES record; we summarize key fields for readability.

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