Individual provider Active NPI

Elizabeth Palchick

  • Family Nurse Practitioner
  • Prospect, CT
National Provider Identifier
1548661754
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005635 Issued in CT
Practice address
11 Radio Tower Rd
Prospect, CT 06712-1837
Phone
(203) 520-2460
NPI assigned
Sep 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 005635 CT Primary

Addresses

Primary practice location

11 Radio Tower Rd
Prospect, CT 06712-1837

Mailing address

11 Radio Tower Rd
Prospect, CT 06712-1837
Phone (203) 520-2460

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
I20141113000819 CT Practitioner - Nurse Practitioner 2769604461 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

320 Colony St
Meriden, CT 06451-2053
Phone (203) 235-5716

59 Harrington CT
Colchester, CT 06415-1207
Phone (860) 537-2339

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
Post Acute Specialists, LLC CurrentSince Dec 16, 2025 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
HDC Care Solutions, LLC Family CurrentSince May 1, 2022 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

9825 S Jordan Gtwy
Sandy, UT 84070

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1548661754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RADIO TOWER RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121837",
            "telephone_number": "203-520-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RADIO TOWER RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121837",
            "telephone_number": "203-520-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCHICK",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-07",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

Verify at the official NPI Registry.