Elizabeth Jeanne McKinnell, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

E34419 Issued in CT

Practice address

162 Washington Ave
North Haven, CT 06473-1711

Phone

(203) 239-4071

NPI assigned

Jul 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, VT2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gifford Health Care IncGroup PAC ID 2668624982, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gifford Medical Center Hospital, Randolph, VT, CCN 471301
• Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gifford Health Care, Inc

  • General Practice Physician
  • Randolph, VT
  • NPI 1013269430
  Medicare reassignment Care Compare group
• Charter Oak Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1992750855
  Medicare reassignment NPD
• Charter Oak Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1841937679
  NPD
• Aim Healthcare Providers VT, LLC

  • Family Medicine Physician
  • South Burlington, VT
  • NPI 1649014705
  NPD

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

• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637
  Care Compare affiliation
• Gifford Medical Center Inc

  • Critical Access Hospital
  • Randolph, VT
  • NPI 1730199647
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1407875602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S END AVE",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064222903",
            "telephone_number": "860-349-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731711",
            "telephone_number": "203-239-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNELL",
        "first_name": "ELIZABETH",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "E34419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236007",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terence McCarthy, LADC, LMSW
• Kathryn McGibbon
• Caitlin McGinnis
• Margaret Josephine McGovern, LPC, ATR-BC
• Stephanie Ann McGrath, LMSW
• Morgan McMullin, PA
• Hollyann C McNabola
• Danielle Meagh-Knauft, LCSW
• Medical Associates of North Haven LLC
• Medical Center Pharmacy and Home Care Center, Inc.

• Family Nurse Practitioner in North Haven, CT
• Providers in North Haven, 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 Feb 2, 2016; 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.