Mary Ellen Gavin

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R52304 Issued in CT

Practice address

140 Stillson Rd
Fairfield, CT 06825-3212

Phone

(203) 258-3324

NPI assigned

May 11, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gavin Eldercare Management, LLC

  • Case Management Agency
  • Fairfield, CT
  • NPI 1568390110
  NPD

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1851229041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STILLSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253212",
            "telephone_number": "203-258-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STILLSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253212",
            "telephone_number": "203-258-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "MARY ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CT",
            "license": "R52304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Garvin, LMFT
• Maura Garych
• Gastroenterology Associates of Fairfield P C
• Gastroenterology Associates of Fairfield PC
• Gavin Eldercare Management, LLC
• Rey Ronald Gayo, DC
• Marie Ann Geelan, L.P.C.
• Arthur Greg Geiger, M.D.
• Laurie M Gelderman, RPT
• Benjamin Paul Geller, DDS

• Case Management Registered Nurse in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Case Management Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.