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

Peder Johnsen, APRN

Individual provider Family Nurse Practitioner · NPI 1639791577

Peder Johnsen, APRN is a Nurse Practitioner in Middletown, Connecticut. Qualified in 2019, 7 years ago. Practices with Mhs Primary Care, Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

28 Crescent St
Middletown, CT 06457-3654
Phone: (860) 358-6000
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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 8775 (CT)

Record details

NPI number1639791577
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address28 Crescent St, Middletown, CT 06457-3654

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mhs Primary Care, Inc. — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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