Elizabeth Darlene Haylette, MS, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

4390 Issued in CT

Practice address

245 Alvord Park Rd Ste A2
Torrington, CT 06790-7217

Phone

(860) 482-8539

Fax

(860) 482-0258

NPI assigned

Jan 27, 2019

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Litchfield Hills Orthopedic Associates, LLPGroup PAC ID 7113826397, 20 clinicians

The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Merit-based Incentive Payment System (MIPS)

Final score

88.05 of 100Reported as group

Quality

70.34

Promoting interoperability

100

Improvement activities

40

Cost

75.39

Merit-based Incentive Payment System (MIPS)

Final score

91.08 of 100Reported as group

Quality

88.65

Promoting interoperability

93

Improvement activities

40

Cost

79.39

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

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.

• Litchfield Hills Orthopedic Associates, LLP

  • Orthopaedic Surgery Physician
  • Torrington, CT
  • NPI 1699874404
  Medicare reassignment Care Compare group
• The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
  • NPI 1629075734
  Medicare reassignment Care Compare group
• Litchfield Hills Orthopedic Associates, LLP

  • Orthopaedic Surgery Physician
  • Bristol, CT
  • NPI 1760657712
  NPD
• The Charlotte Hungerford Hospital

  • Psychiatric Hospital Unit
  • Torrington, CT
  • NPI 1639255870
  NPD

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

• The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
  • NPI 1629075734
  Care Compare affiliation

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1700340411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ALLEN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067866405",
            "telephone_number": "860-371-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD STE A2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907217",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYLETTE",
        "first_name": "ELIZABETH",
        "middle_name": "DARLENE",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004197738",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.lhoa.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "address_1": "245 Alvord Park Rd Ste A2",
            "city": "Torrington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067907217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra S. Hart, LCSW
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• Katherine Linnea Harvey, M.D., M.P.H.
• Lisa Haut
• Haven Health Center of Litchfield Hills, LLC (Haven Health Center of Torrington)
• Jennifer Haynes
• Samar R Hazzan, M.D.
• Health Complex Medical LLC
• Hearing Care Centers LLC
• Charles R Heaton, PA-C

• Surgical Physician Assistant in Torrington, CT
• Providers in Torrington, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.