Individual provider Active NPI

Elizabeth Seils, PA-C

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1477960045
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003138 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-3318
Fax
(860) 561-7272
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003138 CT Primary
Physician Assistant 363A00000X 3138 CT

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

333 Weatherly TRL
Guilford, CT 06437-1260
Phone (860) 463-6785

Other practice location 1

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5691

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eseils64784@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829000609 CT Practitioner - Physician Assistant 0042438293 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003138CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Physician Assistant CurrentSince Nov 30, 2021 Accepting new patients
Yale University CurrentSince Mar 4, 2021 Accepting new patients
Yale University CurrentSince Mar 4, 2021 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

80 Seymour St
Fl 5
Hartford, CT 06106
Phone (860) 545-8950

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

100 Retreat Ave
Fl 5
Hartford, CT 06106
Phone (860) 837-5206

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: eseils64784@connecticutchildrens.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1477960045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WEATHERLY TRL",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371260",
            "telephone_number": "860-463-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-3318",
            "fax_number": "860-561-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Grand St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522016",
            "country_code": "US",
            "telephone_number": "860-224-5691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEILS",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "003138",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eseils64784@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "100 Grand St",
            "city": "New Britain",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060522016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.