Individual provider Active NPI

Mary Elizabeth, APRN

  • Acute Care Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1962817908
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
005769 Issued in CT
Practice address
80 Seymour St
Hartford Hospital Neurology Dept
Hartford, CT 06102-5037
Phone
(860) 972-3621
NPI assigned
Jun 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 005769 CT
Acute Care Nurse Practitioner 363LA2100X 005769 CT Primary
Acute Care Clinical Nurse Specialist 364SA2100X 005769 CT

Addresses

Primary practice location

80 Seymour St
Hartford Hospital Neurology Dept
Hartford, CT 06102-5037

Mailing address

158 Sulliven Ave
Suite 6
South Windsor, CT 06074
Phone (959) 900-1100

Other names 1

  • Mary Elizabeth Bycholski 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
I20141212000468 CT Practitioner - Nurse Practitioner 9931421427 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Manchester Hospital, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Starling Physicians, PLLC Nurse Practitioner CurrentSince Aug 1, 2016 Accepting new patients
Starling Physicians PLLC CurrentSince Aug 1, 2016 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

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

320 Main St
Manchester, CT 06040

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

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

Organizations & group practices 7

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": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1962817908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 SULLIVEN AVE",
            "address_2": "SUITE 6",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "959-900-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "860-972-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZABETH",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-28",
        "last_updated": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "005769",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "005769",
            "primary": true
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CT",
            "license": "005769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BYCHOLSKI",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.