Individual provider Active NPI

Laurie Jean Deciantis, FNP-BC

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1083220362
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
009187 Issued in CT
Practice address
61 S Main St Ste 312
West Hartford, CT 06107-2403
Phone
(860) 247-2530
Fax
(860) 524-7727
NPI assigned
Sep 22, 2020
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9187 CT
Family Nurse Practitioner 363LF0000X 009187 CT Primary

Addresses

Primary practice location

61 S Main St Ste 312
West Hartford, CT 06107-2403

Mailing address

30 Jordan LN Ste 3
Wethersfield, CT 06109-1244
Phone (860) 263-0253

Other practice location 1

114 Woodland Ave
Hartford, CT 06105
Phone (860) 714-9000

Other practice location 2

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000

Other practice location 3

151 Hazard Ave Ste 9
Enfield, CT 06082-4588
Phone (860) 247-2530

Other practice location 4

27 Sycamore St Ste 100
Glastonbury, CT 06033-7208
Phone (860) 247-2530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldeciantis40147@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130002647 CT Practitioner - Nurse Practitioner 0345651139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

61 S Main St
FL 3
West Hartford, CT 06107-2486
Phone (860) 247-2530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9187CTMDNurse Practitioner
009187CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Dec 7, 2020 Accepting new patients
University of Connecticut Health Center CurrentSince Mar 1, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 7, 2020 Accepting new patients
Prime Healthcare, PC Nurse Practitioner CurrentSince Jan 2, 2026 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Jan 2, 2026 Accepting new patients
University of Connecticut Health Center CurrentSince Mar 1, 2023 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Connecticut Surgeons, LLC PastSince Nov 24, 2025 Accepting new patients

Locations

151 Hazard Ave
Ste 9
Enfield, CT 06082
Phone (413) 785-5321

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

27 Sycamore St
Ste 100
Glastonbury, CT 06033
Phone (860) 659-0581

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

61 S Main St
Fl 3
West Hartford, CT 06107
Phone (860) 247-2530

61 S Main St
Ste 312
West Hartford, CT 06107
Phone (860) 247-2530

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

30 Jordan Ln
Ste 3
Wethersfield, CT 06109
Phone (860) 263-0253

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1083220362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LN STE 3",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091244",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 312",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072403",
            "telephone_number": "860-247-2530",
            "fax_number": "860-524-7727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06105",
            "country_code": "US",
            "telephone_number": "860-714-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060300001",
            "country_code": "US",
            "telephone_number": "860-679-2000",
            "fax_number": "860-679-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Hazard Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824588",
            "country_code": "US",
            "telephone_number": "860-247-2530",
            "fax_number": "860-524-7727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Sycamore St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060337208",
            "country_code": "US",
            "telephone_number": "860-247-2530",
            "fax_number": "860-524-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECIANTIS",
        "first_name": "LAURIE",
        "middle_name": "JEAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "9187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "009187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldeciantis40147@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "114 Woodland Ave",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.