Amazing Victory LLC
NPI 1134826712 · Nurse Practitioner · Fairfield, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amazing Victory LLC is a Nurse Practitioner organization in Fairfield, CT (NPI 1134826712).
Provider details
- NPI number
- 1134826712
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stephanie Larose, Ceo(475) 500-2334
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Amazing Victory Health and Wellness LLC
Registry dates
- Enumerated
- 2023-02-14
- Last updated
- 2023-02-14
- Certified
- 2023-02-05
Frequently asked questions
- What is Amazing Victory LLC's NPI number?
- Amazing Victory LLC's National Provider Identifier (NPI) is 1134826712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amazing Victory LLC?
- Amazing Victory LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amazing Victory LLC located?
- Amazing Victory LLC's practice location on file with NPPES is 1201 Kings Hwy Ste 2, Fairfield, CT 06824-5319.
- What is Amazing Victory LLC's phone number?
- The practice phone number listed in the NPPES registry for Amazing Victory LLC is (475) 500-2334.
- Does Amazing Victory LLC accept Medicare?
- Amazing Victory LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Amazing Victory LLC?
- The authorized official listed on Amazing Victory LLC's NPPES record is Stephanie Larose, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amazing Victory LLC's NPI active?
- Yes — Amazing Victory LLC's NPI (1134826712) is active in the NPPES registry as of the last update on 2023-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.