Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Bermudez

Individual provider Registered Nurse · NPI 1013872571

Alexander Bermudez is a Nurse Practitioner in Ellington, Connecticut. Qualified in 2025, 1 year ago. Practices with Impact Health Psych PC, a 19-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2025
Specialties on file
2

Practice location Address checks out

46 Burbank Rd
Ellington, CT 06029-2832
Phone: (860) 830-9359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 16097 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 175023 (CT)

Record details

NPI number1013872571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025
Mailing address46 Burbank Rd, Ellington, CT 06029-2832

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Impact Health Psych Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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