Individual provider Active NPI

Deanne Rendock, APRN

  • Adult Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1831294321
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
002313 Issued in CT
Practice address
85 Seymour St
Suite 923
Hartford, CT 06106
Phone
(860) 547-1876
Fax
(860) 520-1379
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 002313 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 923
Hartford, CT 06106

Mailing address

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 258-3480

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
I20100811000549 CT Practitioner - Nurse Practitioner 5991839003 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

533 Cottage Grove Rd
Bloomfield, CT 06002-3155
Phone (860) 258-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Dec 12, 2017 Accepting new patients
Hartford Hospital CurrentSince Dec 12, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Apr 1, 2020 Accepting new patients
Starling Physicians PLLC CurrentSince Jun 21, 2000 Accepting new patients
Hartford Hospital CurrentSince Dec 12, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 1, 2020 Accepting new patients
Starling Physicians, PLLC CurrentSince Jun 21, 2000 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

85 Seymour St
Ste 923
Hartford, CT 06106
Phone (860) 524-4550

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

Interoperability endpoints

  • Direct secure messaging: deanne.rendock@xdr.hhchealthdirect.org

Organizations & group practices 9

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1831294321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-258-3480",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 923",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-547-1876",
            "fax_number": "860-520-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDOCK",
        "first_name": "DEANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.