Ellen Ann Maurus

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10588 Issued in CT

Practice address

13 Church Rd
East Granby, CT 06026-9406

Phone

(860) 653-4526

NPI assigned

Jul 30, 2022

Last updated

Jul 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Granby Family Practice LLCGroup PAC ID 6709873144, 12 clinicians

McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ellen.maurus.1@28841.direct.athenahealth.com

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.

• East Granby Family Practice LLC

  • Family Medicine Physician
  • East Granby, CT
  • NPI 1154308229
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1316673452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CONLIN DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825020",
            "telephone_number": "860-299-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CHURCH RD",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269406",
            "telephone_number": "860-653-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURUS",
        "first_name": "ELLEN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Kuofie, RN
• Daniel Michael Lerner, D.O.
• Christine Noelle Levine, M.S., BCBA
• Kim Lowman
• Maureen E Emery Lcsw1 PLLC (Gem Tree Counseling)
• Madeline Mondo
• Brent J Munson, LMFT
• Petra Irmgard Mursch, DC
• Rosa Noda-Clark, RDH
• Cory Patterson

• Family Nurse Practitioner in East Granby, CT
• Providers in East Granby, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.