Active NPI
Elena Schneider, PA-C
- Medical Physician Assistant
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 505 Farmington Ave
Farmington, CT 06032-1901 - Phone
- (860) 837-6700
- Fax
- (860) 837-6765
- NPI assigned
- Jun 23, 2015
- Last updated
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | Primary |
Addresses
Primary practice location
505 Farmington Ave
Farmington, CT 06032-1901
Mailing address
39 Brightwood LN
West Hartford, CT 06110-1605
Phone (860) 995-0027
Other practice location 1
3300 Main St
Suite 3A/B
Springfield, MA 01199-1002
Phone (413) 794-7031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eschneider39231@connecticutchildrens.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4062 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children's Specialty Group, Inc. | Current | Accepting new patients |
Locations
505 Farmington Ave
Farmington, CT 06032
Phone (860) 837-6700
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
Interoperability endpoints
- eschneider39231@connecticutchildrens.direct-ci.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1407238785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 BRIGHTWOOD LN",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101605",
"telephone_number": "860-995-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321901",
"telephone_number": "860-837-6700",
"fax_number": "860-837-6765"
}
],
"practiceLocations": [
{
"address_1": "3300 Main St",
"address_2": "Suite 3A/B",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011991002",
"country_code": "US",
"telephone_number": "413-794-7031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "ELENA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eschneider39231@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "505 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060321901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.