MEDICARE: NEXGEN HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1982428553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXGEN HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	81 OLD WINDSOR RD UNIT 3
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-1419
Country	:	US
Telephone Number	:	860-966-0497
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 OLD WINDSOR RD UNIT 3
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-1419
Country	:	US
Telephone Number	:	860-966-6727
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAYLA WOOLEY
Credential	:
Telephone Number	:	860-966-0497

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	04/03/2026

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