PATRICK J CULLEN (PA-C) – Medical Physician Assistant, NPI 1679556856

PATRICK J CULLEN (PA-C) is a healthcare provider. based in Norwich, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 000680 (CT). The NPI Number for PATRICK J CULLEN (PA-C) is 1679556856

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK J CULLEN (PA-C)
NPI
1679556856
Phone
(860) 886-2655
Address
79 WAWECUS ST STE 101
Enumeration Date
22 November 2005
Last Update Date
2 May 2017

Doctor Profile

Medical School Name
UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Secondary Phone
8604478304
Graduation Year
1998 (28 years ago)
PAC ID
5294851630
Group Practice PAC ID
0547169138
Professional Enrollment ID
I20100923000291
Address ID
CT063204902NE1XXXXCVXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for PATRICK J CULLEN (PA-C)

  • 101, Wawecus Street, Bean Hill Historic District, Yantic, Norwich, New London County, Connecticut, 06360, United States

    NORWICH, CT 063602173

    Phone: (860) 886-2655

    Fax: (860) 887-9003

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $527.

Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($209).

Total Amount

$527

General + Research + Ownership

Payments

6

Total payment records

General Amount

$527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-23

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
I20100923000291IPhysician AssistantCTTBD

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 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: 0547169138View full group profile
NameSpecialtyState
Family PracticeCT
Nurse PractitionerMA
Mental Health CounselorCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Certified Nurse Midwife (Cnm)CT
Clinical PsychologistCT
Nurse PractitionerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

Is there an official ID for PATRICK J CULLEN (PA-C) in U.S. healthcare records?
The official identifier for PATRICK J CULLEN (PA-C) is NPI 1679556856.
Is there an active status for PATRICK J CULLEN (PA-C)?
For scheduling context, PATRICK J CULLEN (PA-C) is shown as active in the registry.
What area of care is associated with PATRICK J CULLEN (PA-C)?
PATRICK J CULLEN (PA-C)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with PATRICK J CULLEN (PA-C)?
Directory geography for PATRICK J CULLEN (PA-C) centers on Norwich, Connecticut.
When was this NPI issued?
Enumeration for PATRICK J CULLEN (PA-C) is noted as November 22, 2005 where the registry provides it.

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