Elizabeth Lynn Dmowski, APRN
Individual provider Active NPI Family Nurse Practitioner · New London, CT
NPI 1366601064 · NPPES record last updated May 28, 2014
Key facts
- NPI
- 1366601064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 003897 (CT)
- Practice address
- 194 Howard St
New London, CT 06320-5544 - Phone
- (860) 444-3366
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center Inc
Practice addresses (Care Compare)
114 E Main St
Clinton, CT 06413-2112
Phone (860) 664-0787
19 Grand St
Middletown, CT 06457-2705
675 Main St
Middletown, CT 06457-2732
Phone (860) 347-6971
Hospital & facility affiliations
- Middlesex Health Care at Home and Hospice Program
- Middlesex Hospital
- Yale-New Haven Hospital
- Gaylord Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081204000689 | CT | Practitioner - Nurse Practitioner | 5991866279 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients | |
| Community Health Center Inc | Current |
Accepting new patients | |
| Harborlight Health | Current | Accepting new patients | |
| Usacs of Connecticut, LLC | Past | Accepting new patients | |
| L&M Physician Association, Inc | Family | Past | Accepting new patients |
Locations
114 E Main St
Clinton, CT 06413
Phone (860) 664-0787
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
Interoperability endpoints
- elizabeth.dmowski@chcict.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 003897 | CT | Yes |
Addresses
Primary practice location
194 Howard St
New London, CT 06320-5544
Mailing address
194 Howard St
New London, CT 06320-5544
Phone (860) 444-3366
Other providers in New London, CT
- Kevin Webster Dickey
- Digestive Disease Associates
- Barbara Dinoia
- Sasha Discuillo
- Divine Mind Therapy
- Michael E Dobson
- Amanda Jaylyn Dodd
- Hartmut A Doerwaldt
- Lauren Marcus Doherty
- Patrick F Doherty
All providers in New London, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.