Individual provider Active NPI

Elizabeth Krynicki, PMHNP-BC APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Burlington, CT
National Provider Identifier
1790038735
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
05160 Issued in CT
Practice address
28 Wildcat Rd
Burlington, CT 06013-2400
Phone
(860) 877-3986
Fax
(413) 224-6403
NPI assigned
Oct 15, 2012
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2012006531 CT
Adult Health Nurse Practitioner 363LA2200X 005160 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 05160 CT Primary
Registered Nurse 163W00000X 066719 CT

Addresses

Primary practice location

28 Wildcat Rd
Burlington, CT 06013-2400

Mailing address

28 Wildcat Rd
Burlington, CT 06013-2400
Phone (860) 877-3986

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.officeally.com

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
I20130325000557 CT Practitioner - Nurse Practitioner 4284879180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians

Practice addresses (Care Compare)

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
066719CTMDRegistered Nurse
2012006531CTMDNurse Practitioner
005160CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Mar 14, 2021 Accepting new patients
The Charlotte Hungerford Hospital Adult Health CurrentSince May 30, 2021 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 30, 2021 Accepting new patients
Ipc Hospitalists of New England PC Nurse Practitioner CurrentSince Aug 4, 2014 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner CurrentSince Aug 4, 2014 Accepting new patients

Locations

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

2817 N Main St
Waterbury, CT 06704
Phone (203) 757-0731

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

Interoperability endpoints

  • Direct secure messaging: elizabeth.krynicki@xdr.hhchealthdirect.org

Organizations & group practices 5

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1790038735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILDCAT RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060132400",
            "telephone_number": "860-877-3986",
            "fax_number": "413-224-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILDCAT RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060132400",
            "telephone_number": "860-877-3986",
            "fax_number": "413-224-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYNICKI",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "2012006531",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "005160",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "05160",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "066719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "28 Wildcat Rd",
            "city": "Burlington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060132400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, CT

Sources for this page

Verify at the official NPI Registry.