JULIE A FETZER (CNM) – Advanced Practice Midwife, NPI 1710717194

JULIE A FETZER (CNM) is a healthcare provider. based in Colchester, Connecticut. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 16.000579 (CT). The NPI Number for JULIE A FETZER (CNM) is 1710717194

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JULIE A FETZER (CNM)
NPI
1710717194
Phone
(860) 460-0295
Address
231 Bulkeley Hill Rd
Enumeration Date
1 August 2024
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
5496280679
Group Practice PAC ID
0547169138
Professional Enrollment ID
I20241125002676
Address ID
CT064570000MI19XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

156 CERTIFIED NURSE MIDWIFE (CNM) in CT

Provider Addresses for JULIE A FETZER (CNM)

  • 231 Bulkeley Hill Rd

    Colchester, CT 064151803

    Phone: (860) 460-0295

    Type: Location

  • 1 Shaws Cv

    New London, CT 063204902

    Phone: (860) 447-8304

    Type: Location

  • 231 BULKELEY HILL RD

    COLCHESTER, CT 064151803

    Phone: (860) 460-0295

    Type: Mailing

  • 134 STATE ST

    MERIDEN, CT 064503293

    Phone: (203) 237-2229

    Type: Location

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: 2024-11-25

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
I20241125002676ICertified Nurse Midwife (Cnm)CTTBD

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 06415)

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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

What is JULIE A FETZER (CNM)'s NPI number?
JULIE A FETZER (CNM)'s NPI is 1710717194 — the number used across U.S. healthcare to identify this provider.
Is JULIE A FETZER (CNM) still an active registrant?
JULIE A FETZER (CNM) carries an active NPI according to the public dataset.
What expertise is attributed to JULIE A FETZER (CNM)?
JULIE A FETZER (CNM)'s specialty line reads Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Is JULIE A FETZER (CNM) located near Colchester?
JULIE A FETZER (CNM) currently maps to Colchester, Connecticut in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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