Active NPI
Elise Winter, PA-C
- Physician Assistant
- Vernon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002622
- Practice address
- 520 Hartford Tpke
Suite M
Vernon, CT 06066-5037 - Phone
- (860) 872-8321
- Fax
- (860) 875-6271
- NPI assigned
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | CT | ||
| Physician Assistant | 363A00000X | 002622 | CT | Primary |
| Family Medicine Physician | 207Q00000X | 002622 | CT |
Addresses
Primary practice location
520 Hartford Tpke
Suite M
Vernon, CT 06066-5037
Mailing address
520 Hartford Tpke
Suite M
Vernon, CT 06066-5037
Phone (860) 872-8321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1315 Main St
Suite 3
Willimantic, CT 06226-1931
Phone (860) 576-8771
1646 Boston Post Rd
Milford, CT 06460-2776
Phone (203) 706-4219
35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 787-5774
366 Shrewsbury St
Worcester, MA 01604-4647
Phone (508) 595-2700
385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977
5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300
775 Queen St
Southington, CT 06489-1531
Phone (860) 777-1281
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002622 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthwise Medical Associates, LLP | Family Medicine | Past | Accepting new patients |
| Prospect CT Medical Foundation, Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- elise.winter@xdr.hhchealthdirect.org
- elise.winter.npi1003195785.reliant@direct.optumcare.masshiway.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
-
- Family Medicine Physician
- Vernon, CT
- NPI 1891749933
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1003195785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 HARTFORD TPKE",
"address_2": "SUITE M",
"city": "VERNON",
"state": "CT",
"postal_code": "060665037",
"telephone_number": "860-872-8321",
"fax_number": "860-875-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 HARTFORD TPKE",
"address_2": "SUITE M",
"city": "VERNON",
"state": "CT",
"postal_code": "060665037",
"telephone_number": "860-872-8321",
"fax_number": "860-875-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "ELISE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002622",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "002622",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.