Individual provider Active NPI

Erica Jane Bencivenga, FNP-BC

  • Family Nurse Practitioner
  • New Britain, CT
National Provider Identifier
1851912299
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9475 Issued in CT
Practice address
5 Highland St
New Britain, CT 06052-2013
Phone
(860) 224-5193
NPI assigned
Apr 27, 2020
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9475 CT Primary

Addresses

Primary practice location

5 Highland St
New Britain, CT 06052-2013

Mailing address

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5193

Other names 1

  • Miss Erica J Schrumm Former name

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
I20211014001421 CT Practitioner - Nurse Practitioner 7012330590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9475CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Jan 14, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
It Is Well Integrative Partners PastSince Apr 9, 2023 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

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

336 N Main St
West Hartford, CT 06117
Phone (860) 200-7701

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1060 Day Hill Rd
Ste 202
Windsor, CT 06095
Phone (860) 683-1108

Interoperability endpoints

  • Direct secure messaging: erica.bencivenga@xdr.hhchealthdirect.org

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, 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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1851912299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HIGHLAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522013",
            "telephone_number": "860-224-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIVENGA",
        "first_name": "ERICA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SCHRUMM",
            "middle_name": "J",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.