Individual provider Active NPI

Elyssa L Root, PA

  • Physician Assistant
  • Farmington, CT
National Provider Identifier
1801040613
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002262 Issued in CT
Practice address
263 Farmington Avenue
Farmington, CT 06030-4038
Phone
(860) 679-6600
Fax
(860) 679-6604
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002262 CT Primary
Surgical Physician Assistant 363AS0400X 23-012973 NY

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030-4038

Mailing address

263 Farmington Ave
Farmington, CT 06030-4038
Phone (860) 679-6600

Other practice location 1

507 E Main St
Torrington, CT 06790-5606
Phone (860) 489-1291

Other practice location 2

1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067
Phone (860) 525-4469

Other practice location 3

33-39 Court St
Norwich, NY 13815-1325
Phone (607) 337-4700

Other names 1

  • Elyssa L Roberts Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eroot83628@direct.med.uchc.edu

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
I20090814000234 CT Practitioner - Physician Assistant 2163583741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

263 Farmington Ave
Farmington, CT 06030-8082

507 E Main St
Torrington, CT 06790-5606
Phone (860) 679-3692

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002262CTMDPhysician Assistant
23-012973NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Jan 10, 2025 Accepting new patients
Orthopedic Surgical Partners, P.C. Physician Assistant CurrentSince Oct 29, 2012 Accepting new patients
University of Connecticut Health Center CurrentSince Jan 10, 2025 Accepting new patients
Orthopedic Surgical Partners, PC CurrentSince Oct 29, 2012 Accepting new patients
Anthony Cicoria, MD, PLLC Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

31 Ensign Dr
Avon, CT 06001
Phone (860) 409-9125

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

1111 Cromwell Ave
Ste 302
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 403
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 404
Rocky Hill, CT 06067

836 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519

Interoperability endpoints

  • Direct secure messaging: eroot83628@direct.med.uchc.edu

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 4

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1801040613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060304038",
            "telephone_number": "860-679-6600",
            "fax_number": "860-679-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060304038",
            "telephone_number": "860-679-6600",
            "fax_number": "860-679-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 E Main St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067905606",
            "country_code": "US",
            "telephone_number": "860-489-1291",
            "fax_number": "860-489-1804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Cromwell Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "06067",
            "country_code": "US",
            "telephone_number": "860-525-4469",
            "fax_number": "860-278-8032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33-39 Court St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "NY",
            "postal_code": "138151325",
            "country_code": "US",
            "telephone_number": "607-337-4700",
            "fax_number": "607-334-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOT",
        "first_name": "ELYSSA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002262",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "23-012973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eroot83628@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060304038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELYSSA",
            "last_name": "ROBERTS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.