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

Mr. Mikhail Altan

Individual provider Family Nurse Practitioner · NPI 1265248561

Mr. Mikhail Altan is a Nurse Practitioner in Seymour, Connecticut. Qualified in 2022, 4 years ago. Practices with Connecticut Gi PLLC, a 245-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2024

Practice location Address checks out

17 Heritage Dr
Seymour, CT 06483-3841
Phone: (203) 610-1148
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 13795 (CT)

Record details

NPI number1265248561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address17 Heritage Dr, Seymour, CT 06483-3841

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Connecticut Gi Pllc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Seymour