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

Nicholas Mudry

Individual provider Family Nurse Practitioner · NPI 1326752684

Nicholas Mudry is a Nurse Practitioner in Greenwich, Connecticut. Qualified in 2023, 3 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

500 W Putnam Ave Fl 2
Greenwich, CT 06830-2937
Phone: (877) 925-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12235 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 143925 (CT)

Record details

NPI number1326752684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 11, 2023
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address158 Broad St Apt H, Milford, CT 06460-4758

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenwich