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

Samuel Benedict Maynard, APRN

Individual provider Registered Nurse · NPI 1124671961

Samuel Benedict Maynard, APRN is a Nurse Practitioner in New London, Connecticut. Qualified in 2019, 7 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2019
Specialties on file
2
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

1 Shaws Cv
New London, CT 06320-4902
Phone: (860) 447-8304
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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 8305 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 162343 (CT)

Record details

NPI number1124671961
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019
Mailing address749 9th St Unit 203, Durham, NC 27705-1060

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 Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in New London