NPIMap

Individual provider Active NPI

Nancy Concepcion

  • Psychiatric/Mental Health Nurse Practitioner
  • East Hartford, CT
National Provider Identifier
1063189124
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9940 Issued in CT
Practice address
94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone
(860) 528-1359
Fax
(860) 290-4142
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9940 CT Primary

Addresses

Primary practice location

94 Connecticut Blvd
East Hartford, CT 06108-3013

Mailing address

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nconcepcion@firstchc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019002945 CT Practitioner - Nurse Practitioner 5193113447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

Practice addresses (Care Compare)

110 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359263

265 Ellington Rd
East Hartford, CT 06108-1176
Phone (860) 610-6191

809 Main St
East Hartford, CT 06108-3142
Phone (860) 610-6131

92 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359129

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9940CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 24, 2021 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 1, 2023 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 24, 2021 Accepting new patients
Connecticut Psychiatric Nurse Practitioner, PLLC Psychiatric/Mental Health Current Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 1, 2023 Accepting new patients

Locations

478 Burnside Ave
East Hartford, CT 06108
Phone (860) 289-7161

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1063189124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CONNECTICUT BLVD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083013",
            "telephone_number": "860-528-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CONNECTICUT BLVD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083013",
            "telephone_number": "860-528-1359",
            "fax_number": "860-290-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nconcepcion@firstchc.org",
            "affiliation": "N",
            "address_1": "94 Connecticut Blvd",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061083013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.