Individual provider Active NPI

Karen Yencho, APRN

  • Pediatric Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1811165145
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
002132 Issued in CT
Practice address
150 Hazard Ave BLDG B
Enfield, CT 06082-4587
Phone
(860) 749-3661
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 002132 CT Primary

Addresses

Primary practice location

150 Hazard Ave BLDG B
Enfield, CT 06082-4587

Mailing address

150 Hazard Ave BLDG B
Enfield, CT 06082-4587
Phone (860) 749-3661

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
I20260109000269 CT Practitioner - Nurse Practitioner 0840577359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Sutton Dr
Vernon, CT 06066-5717

1290 Silas Deane Highway HHC - Cvo
Wethersfield, CT 06109-4337

2 Dogwood Rd Unit
Suite 2
Bourne, MA 02532-2227

575 Main St
FL 2
Middletown, CT 06457-6899

575 Main St 2ND Floor
Attn Credentialing DPT
Middletown, CT 06457-2845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2132CTMDSocial Worker
002132CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Medical Access P.C. Current Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

175 West Rd
Ellington, CT 06029
Phone (860) 375-5141

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

Interoperability endpoints

  • Direct secure messaging: karenyencho@mpp.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1811165145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAZARD AVE BLDG B",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824587",
            "telephone_number": "860-749-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HAZARD AVE BLDG B",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824587",
            "telephone_number": "860-749-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENCHO",
        "first_name": "KAREN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "002132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.