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

Carolyn Fetchel

Individual provider Family Nurse Practitioner · NPI 1396539680

Carolyn Fetchel is a Nurse Practitioner in Greenwich, Connecticut. Qualified in 2024, 2 years ago. Practices with The Connecticut Dermatology Group PLLC, a 29-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2025

Practice location Address checks out

600 W Putnam Ave
Greenwich, CT 06830-6080
Phone: (203) 413-0630
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12.013729 (CT)

Record details

NPI number1396539680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Connecticut Dermatology Group Pllc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenwich