Individual provider Active NPI

Keryn J Rausch, APRN

  • Nurse Practitioner
  • Vernon Rockville, CT
National Provider Identifier
1316036940
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
000988 Issued in CT
Practice address
30 Lafayette SQ Ste 109
Vernon Rockville, CT 06066-4554
Phone
(800) 391-0599
Fax
(980) 825-7196
NPI assigned
Oct 12, 2006
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 000988 CT Primary

Addresses

Primary practice location

30 Lafayette SQ Ste 109
Vernon Rockville, CT 06066-4554

Mailing address

300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 224-6231

Other practice location 1

1 Lake St
Bldg. B
New Britain, CT 06052-1396
Phone (860) 826-4453

Other identifiers 8

IdentifierTypeStateIssuer
004234796MedicaidCT
004224846MedicaidCT
40APRN988CT01OtherCTBCFP MEDICAID
080988OtherCTCONNECTICARE ID
1255448155OtherCTGHMC NPI
378146OtherCTWELLCARE MEDICARE
2V6209OtherCTHEALTH NET ID
40APRN988CT01OtherCTBCBS ID

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
I20061128000150 CT Practitioner - Nurse Practitioner 2668470717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Housecalls, PLLCGroup PAC ID 4284174228, 17 clinicians

Practice addresses (Care Compare)

30 Lafayette SQ
Suite 30
Vernon, CT 06066-4554
Phone (800) 391-0599

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Nurse Practitioner CurrentSince Sep 5, 2023 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Sep 5, 2023 Accepting new patients
Starling Physicians, PLLC Nurse Practitioner CurrentSince Jan 1, 2016 Accepting new patients
Reliant Housecalls, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2016 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Grove Hill Medical Center PC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

499 Farmington Ave
Ste 220
Farmington, CT 06032
Phone (860) 676-8111

100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050

19 Woodland St
Ste 23
Hartford, CT 06105

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

30 Lafayette Sq
Ste 30
Vernon, CT 06066
Phone (800) 391-0599

30 Lafayette Sq
Ste 109
Vernon Rockville, CT 06066
Phone (800) 391-0599

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

Interoperability endpoints

  • Direct secure messaging: keryn.rausch.1@10170.direct.athenahealth.com
  • Direct secure messaging: keryn.rausch@637.emedpractice.direct-ci.com

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1316036940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-224-6231",
            "fax_number": "860-224-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAFAYETTE SQ STE 109",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060664554",
            "telephone_number": "800-391-0599",
            "fax_number": "980-825-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Lake St",
            "address_2": "Bldg. B",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060521396",
            "country_code": "US",
            "telephone_number": "860-826-4453",
            "fax_number": "860-826-6219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "KERYN",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "000988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004234796",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004224846",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCFP MEDICAID",
            "identifier": "40APRN988CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID",
            "identifier": "080988",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMC NPI",
            "identifier": "1255448155",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "378146",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID",
            "identifier": "2V6209",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "40APRN988CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Rockville, CT

Sources for this page

Verify at the official NPI Registry.