MR. BRIAN MICHAEL ULLMAN (APRN, RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1871902502
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
Provider Addresses for MR. BRIAN MICHAEL ULLMAN (APRN, RN)
131 BRIDGE ST
NAUGATUCK, CT 067702929
Phone: (203) 729-0755
Fax: (203) 729-0797
Type: Location
130 Division St
Derby, CT 064181326
Phone: (203) 732-7550
Type: Location
67 MAPLE AVE
DERBY, CT 064181328
Phone: (203) 732-1330
Fax: (203) 732-1332
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $343.
Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($260).
Total Amount
$343
General + Research + Ownership
Payments
18
Total payment records
General Amount
$343
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $260 |
| ABBVIE INC. | $25 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $22 |
| ITI, Inc. | $20 |
| Lilly USA, LLC | $17 |
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: 2014-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141027002020 | I | Nurse Practitioner | CT | TBD |
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.
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 06770)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CT | |
| - | CT | |
| Mental Health Counselor | CT |
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