Individual provider Active NPI

Elisabeth Parcinski, APRN

  • Family Nurse Practitioner
  • Danielson, CT
National Provider Identifier
1366030066
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10849 Issued in CT
Practice address
42 Reynolds St
Danielson, CT 06239-2917
Phone
(860) 774-7501
Fax
(860) 779-2191
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 140432 CT
Family Nurse Practitioner 363LF0000X 10849 CT Primary

Addresses

Primary practice location

42 Reynolds St
Danielson, CT 06239-2917

Mailing address

42 Reynolds St
Danielson, CT 06239-2917
Phone (860) 774-7501

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
I20220930002500 CT Practitioner - Nurse Practitioner 5294111076

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Family Health Center IncGroup PAC ID 4880640630, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

40 Mansfield Ave
Willimantic, CT 06226-2018
Phone (860) 450-7471

Hospital & facility affiliations

  • Day Kimball Homecare Hospice, North Grosvenordale, CT, CCN 071504
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
140432CTMDRegistered Nurse
10849CTMDFamily Nurse Practitioner

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1366030066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 REYNOLDS ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392917",
            "telephone_number": "860-774-7501",
            "fax_number": "860-779-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 REYNOLDS ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392917",
            "telephone_number": "860-774-7501",
            "fax_number": "860-779-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCINSKI",
        "first_name": "ELISABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "140432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielson, CT

Sources for this page

Verify at the official NPI Registry.