DELORETTA THERESA ECKENRODE (NP) – Family Nurse Practitioner, NPI 1083663058
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for DELORETTA THERESA ECKENRODE (NP)
31 CHERRY ST STE 1
MILFORD, CT 064603465
Phone: (203) 874-7001
Type: Location
11350, McCormick Road, Hunt Valley, Cockeysville, Baltimore County, Maryland, 21030, United States
EXECUTIVE PLAZA 1, SUITE 501
HUNT VALLEY, MD 21031
Phone: (410) 329-1071
Fax: (410) 329-1054
Type: Mailing
Sand Pit Road, Beaverbrook, Danbury, Fairfield County, Connecticut, 06810, United States
DANBURY, CT 06810
Phone: (203) 743-7264
Fax: (203) 792-3920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 190 Open Payments records for all available years, with a total value of $4,063.
Total Amount is formed as General ($4,063) + Research ($0) + Ownership ($0) = $4,063.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($740).
Total Amount
$4,063
General + Research + Ownership
Payments
190
Total payment records
General Amount
$4,063
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $740 |
| ITI, Inc. | $396 |
| GlaxoSmithKline, LLC. | $339 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $267 |
| AstraZeneca Pharmaceuticals LP | $250 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080707000166 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06460)
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