Elese Ciarcia, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Willimantic, CT
NPI 1508716978 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1508716978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 16386 (CT)
- Practice address
- 40 Mansfield Ave
Willimantic, CT 06226-2018 - Phone
- (860) 450-7471
- NPI assigned
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 S St Apt
H5
Vernon, CT 06066-4221
40 Mansfield Ave
Willimantic, CT 06226-2018
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 |
|---|---|---|---|---|
| I20260514002179 | CT | Practitioner - Nurse Practitioner | 2264901628 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16386 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 16386 | CT | Yes |
Addresses
Primary practice location
40 Mansfield Ave
Willimantic, CT 06226-2018
Mailing address
40 Mansfield Ave
Willimantic, CT 06226-2018
Phone (860) 450-7471
Other providers in Willimantic, CT
- Jamie Elizabeth Charron
- Blanca D Charry
- Chelliah Pandian LLC
- Douglas Chung
- Amanda Church
- Marianne Ciardullo
- Donald Cieslukowski
- Deirdre M Clark
- Code One Medical Solutions, LLC
- Summer Collins
All providers in Willimantic, CT · Psychiatric/Mental Health 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 7, 2026. 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.