Individual provider Active NPI

Alice Gancsos, APRN

  • Acute Care Nurse Practitioner
  • Monroe, CT
National Provider Identifier
1144501800
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4787 Issued in CT
Practice address
324 Elm St Ste 202B
Monroe, CT 06468-2284
Phone
(203) 880-5335
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4787 CT Primary

Addresses

Primary practice location

324 Elm St Ste 202B
Monroe, CT 06468-2284

Mailing address

65 Dwight St
#55
New Haven, CT 06511-5358
Phone (617) 913-3610

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
I20140815000765 CT Practitioner - Nurse Practitioner 7214154228 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Acute Care CurrentSince May 1, 2022 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
Healthdrive Medical Services Southeast LLC Acute Care CurrentSince Aug 1, 2025 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1144501800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DWIGHT ST",
            "address_2": "#55",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115358",
            "telephone_number": "617-913-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ELM ST STE 202B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682284",
            "telephone_number": "203-880-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCSOS",
        "first_name": "ALICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

Verify at the official NPI Registry.