ELIZABETH PELLETIER (APRN) – Family Nurse Practitioner, NPI 1174166987
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
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Provider Addresses for ELIZABETH PELLETIER (APRN)
100, Sunrise Drive, Manchester, Hartford County, Connecticut, 06040, United States
MANCHESTER, CT 060409307
Phone:
Type: Mailing
West Hartford, Hartford County, Connecticut, United States
WEST HARTFORD, CT 061191801
Phone: (860) 986-6440
Type: Location
1290 SILAS DEANE HWY FL 2
WETHERSFIELD, CT 061094337
Phone: (877) 701-7444
Type: Mailing
200 BLOOMFIELD AVE
WEST HARTFORD, CT 061171599
Phone: (860) 768-6601
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-03-04 • Largest payer in this snapshot: PFIZER INC. ($35).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $35 |
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: 2019-11-18
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 |
|---|---|---|---|---|
| I20191118001350 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 20 | 20 | $0 |
Insurance plans in this area (ZIP 06040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Family Practice | VA | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Emergency Medicine | CT | |
| - | FL | |
| Physician Assistant | NY |
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