Erin Siobhan Prescott
Individual provider Active NPI Adult Health Nurse Practitioner · South Glastonbury, CT
NPI 1104404029 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1104404029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 0000000000 (CT)
- Practice address
- 401 Foote Rd
South Glastonbury, CT 06073-3406 - Phone
- (860) 368-9320
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Connecticut School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Middlesex Hospital
Practice addresses (Care Compare)
80 S Main St
Suite 204
Middletown, CT 06457-3648
Phone (860) 358-6878
Hospital & facility affiliations
- Middlesex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210831001721 | CT | Practitioner - Nurse Practitioner | 5092111047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000000 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Adult Health | Current |
Accepting new patients |
| Middlesex Hospital | Current |
Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients |
Locations
540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683
80 S Main St
Ste 204
Middletown, CT 06457
Phone (860) 358-6878
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
80 S Main St
Middletown, CT 06457
Phone (860) 347-6939
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0000000000 | CT | Yes |
Addresses
Primary practice location
401 Foote Rd
South Glastonbury, CT 06073-3406
Mailing address
401 Foote Rd
South Glastonbury, CT 06073-3406
Phone (860) 368-9320
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erin.prescott@uconn.edu | Direct |
Other providers in South Glastonbury, CT
- NFD
- Nourished Minds LLC
- Personal Therapy and Home Safety, LLC
- Deirdre Cronin Pizzoferrato
- Playful Development, LLC
- Quality Living Liaisons,LLC
- Linda Rimkunos
- Jacqueline Marie Roberts
- Lisa Sklover
- Stayhomept
All providers in South Glastonbury, CT · Adult Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.