ELIZABETH MAGENHEIMER (FNP APRN) – Community Health Nurse Practitioner, NPI 1093819146
Community Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ELIZABETH MAGENHEIMER (FNP APRN)
Fair Haven Health Clinic, 374, Grand Avenue, Mill River, Barnesville, New Haven, New Haven County, Connecticut, 06513, United States
FAIR HAVEN COMMUNITY HEALTH CTR
NEW HAVEN, CT 06513
Phone: (203) 777-7411
Fax: (203) 777-8506
Type: Location
120, Huntington Street, Prospect Hill Historic District, East Rock, New Haven, Connecticut, 06511, United States
NEW HAVEN, CT 06511
Phone: (203) 787-1383
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Abbott Laboratories ($150).
Total Amount
$150
General + Research + Ownership
Payments
1
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $150 |
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: 2008-05-22
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 |
|---|---|---|---|---|
| I20080522000661 | 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 06513)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| - | GA | |
| - | CT | |
| Nurse Practitioner | CT | |
| Family Practice | CT | |
| Family Practice | CT | |
| - | CT | |
| Internal Medicine, Geriatric Medicine | IL | |
| Marriage And Family Therapist | CT |
Reviews
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