ANDREA DAMERON (APRN) – Family Nurse Practitioner, NPI 1356624027

ANDREA DAMERON (APRN) is a healthcare provider. based in Norwich, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 004768 (CT). The NPI Number for ANDREA DAMERON (APRN) is 1356624027

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA DAMERON (APRN)
NPI
1356624027
Phone
(860) 222-0949
Address
12 CASE ST STE 103
Enumeration Date
20 September 2011
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602220949
Graduation Year
2011 (15 years ago)
PAC ID
4981879640
Group Practice PAC ID
1850673559
Professional Enrollment ID
I20111207000413
Address ID
CT063602222NO12XXXSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for ANDREA DAMERON (APRN)

  • 12 CASE ST STE 103

    NORWICH, CT 063602222

    Phone: (860) 222-0949

    Fax: (855) 538-2802

    Type: Mailing

  • 575 MAIN ST

    FL 2

    MIDDLETOWN, CT 064572845

    Phone: (860) 892-7042

    Type: Mailing

  • 47 TOWN ST

    NORWICH, CT 063602315

    Phone: (860) 892-7042

    Type: Location

  • 627 NORWICH SALEM TPKE UNIT 2

    OAKDALE, CT 06370

    Phone: (860) 222-0949

    Fax: (888) 326-5828

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($133).

Total Amount

$239

General + Research + Ownership

Payments

9

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-12-07

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
I20111207000413INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes7826$0
View full utilization report →

Insurance plans in this area (ZIP 06360)

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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: 1850673559View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

What number should I use to identify ANDREA DAMERON (APRN) for billing?
Administrative and clinical systems typically use NPI 1356624027 for ANDREA DAMERON (APRN).
Is ANDREA DAMERON (APRN)'s NPI status active today?
Active status means ANDREA DAMERON (APRN)'s NPI record is not deactivated in the public file.
What type of care does ANDREA DAMERON (APRN) provide?
ANDREA DAMERON (APRN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREA DAMERON (APRN)?
ANDREA DAMERON (APRN) shows a connection to Norwich, Connecticut in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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