Individual provider Active NPI

Camylle Appiahene, APRN

  • Family Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1700206018
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005692 Issued in CT
Practice address
112 Spencer St Ste 2a
Manchester, CT 06040-4601
Phone
(860) 791-8170
Fax
(860) 791-8208
NPI assigned
Apr 25, 2014
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 005692 CT Primary

Addresses

Primary practice location

112 Spencer St Ste 2a
Manchester, CT 06040-4601

Mailing address

112 Spencer St Ste 2a
Manchester, CT 06040-4601
Phone (860) 791-8170

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
I20140620001778 CT Practitioner - Nurse Practitioner 8527282169 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005692CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Healthcare of Connecticut LLC Family CurrentSince Jul 22, 2021 Accepting new patients
Upward Health of Connecticut PC CurrentSince Dec 15, 2025 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

112 Spencer St
Ste 2A
Manchester, CT 06040
Phone (959) 301-9075

2550 Albany Ave
West Hartford, CT 06117
Phone (860) 249-1185

836 Farmington Ave
Ste 219
West Hartford, CT 06119
Phone (860) 328-6147

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

Interoperability endpoints

  • Direct secure messaging: camylle.appiahene.1@18773.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1700206018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST STE 2A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-791-8170",
            "fax_number": "860-791-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST STE 2A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-791-8170",
            "fax_number": "860-791-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPIAHENE",
        "first_name": "CAMYLLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.