Individual provider Active NPI

Christopher John Kochis, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • West Hartford, CT
National Provider Identifier
1609971696
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
002412 Issued in CT
Practice address
998 Farmington Ave
Suite 123
West Hartford, CT 06107-2162
Phone
(860) 989-5055
Fax
(860) 586-8976
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 002412 CT Primary

Addresses

Primary practice location

998 Farmington Ave
Suite 123
West Hartford, CT 06107-2162

Mailing address

998 Farmington Ave
Suite 123
West Hartford, CT 06107-2162
Phone (860) 989-5055

Other identifiers 1

IdentifierTypeStateIssuer
002412OtherCTAPRN LICENSE

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
I20110419000011 CT Practitioner - Nurse Practitioner 4880878750 Reassigns benefits to 2 organizations
Practice locations: West Hartford, CT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gilead Community Services, Inc.Group PAC ID 0244289643, 9 clinicians

Practice addresses (Care Compare)

230 Main St Ext
Middletown, CT 06457-4470
Phone 86034353003421

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Nov 30, 2001 Accepting new patients
Gilead Community Services, Inc. CurrentSince Dec 13, 2022 Accepting new patients
State of Connecticut CurrentSince Nov 30, 2001 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

500 Vine St
Hartford, CT 06112
Phone (860) 293-6400

230 Main Street Ext
Middletown, CT 06457
Phone (860) 343-5300

Organizations & group practices 3

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609971696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 FARMINGTON AVE",
            "address_2": "SUITE 123",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072162",
            "telephone_number": "860-989-5055",
            "fax_number": "860-586-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 FARMINGTON AVE",
            "address_2": "SUITE 123",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072162",
            "telephone_number": "860-989-5055",
            "fax_number": "860-586-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "002412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "002412",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.