Individual provider Active NPI

Elizabeth Pelletier, APRN

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1174166987
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8560 Issued in CT
Practice address
200 Bloomfield Ave
West Hartford, CT 06117-1599
Phone
(860) 768-6601
NPI assigned
Oct 24, 2019
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8560 CT Primary

Addresses

Primary practice location

200 Bloomfield Ave
West Hartford, CT 06117-1599

Mailing address

1290 Silas Deane Hwy FL 2
Wethersfield, CT 06109-4337
Phone (877) 701-7444

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
I20191118001350 CT Practitioner - Nurse Practitioner 8224460951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
62.23
Improvement activities
40
Cost
81.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC Current Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 2, 2025 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince May 1, 2024 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Oct 24, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 2, 2025 Accepting new patients
Ctuc01 CurrentSince Oct 24, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1030 Boulevard
West Hartford, CT 06119
Phone (860) 986-6440

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1290 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 224-5305

Interoperability endpoints

  • Direct secure messaging: epelletier145035@xdr.hhchealthdirect.org

Organizations & group practices 7

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1174166987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY FL 2",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "877-701-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOOMFIELD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171599",
            "telephone_number": "860-768-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.