DEENNA NEALON (APRN) – Family Nurse Practitioner, NPI 1609880905

DEENNA NEALON (APRN) is a healthcare provider. based in Trumbull, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 001767 (CT). The NPI Number for DEENNA NEALON (APRN) is 1609880905

Main info

Female
36 Years Of Experience
Name
DEENNA NEALON (APRN)
NPI
1609880905
Phone
(203) 445-9060
Address
2 CORPORATE DRIVE, SUITE 110
Enumeration Date
29 July 2006
Last Update Date
17 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032206306
Graduation Year
1990 (36 years ago)
PAC ID
8729978390
Professional Enrollment ID
I20040317001011
Address ID
CT064682282MO324XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for DEENNA NEALON (APRN)

  • 2 CORPORATE DRIVE, SUITE 110

    FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC

    TRUMBULL, CT 066111376

    Phone: (203) 445-9060

    Fax: (203) 445-9093

    Mailing address matches the actual address.

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: 2004-03-17

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
I20040317001011INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06611)

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Reviews

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Frequently asked questions

How is DEENNA NEALON (APRN) identified in CMS data?
CMS-hosted NPPES data lists DEENNA NEALON (APRN) with NPI 1609880905.
Does the file indicate DEENNA NEALON (APRN) is practicing under active NPI?
Directory data currently reports DEENNA NEALON (APRN) as active.
What is DEENNA NEALON (APRN) best known for clinically?
Directory data describes DEENNA NEALON (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DEENNA NEALON (APRN) list a practice location?
Patients near Trumbull, Connecticut may find DEENNA NEALON (APRN) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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