MARY JOSEPHINE ELLIOTT (PA-C) – Physician Assistant, NPI 1710594403

MARY JOSEPHINE ELLIOTT (PA-C) is a healthcare provider. based in Guilford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5268 (CT). The NPI Number for MARY JOSEPHINE ELLIOTT (PA-C) is 1710594403

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARY JOSEPHINE ELLIOTT (PA-C)
NPI
1710594403
Phone
(203) 789-2255
Address
47 CLAPBOARD HILL RD.
Enumeration Date
26 September 2020
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037892255106
Graduation Year
2021 (5 years ago)
PAC ID
8426452004
Group Practice PAC ID
7719992734
Professional Enrollment ID
I20210804000218
Address ID
CT064372282GU47XXXRDXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MARY JOSEPHINE ELLIOTT (PA-C)

  • 47 CLAPBOARD HILL RD.

    STE 2

    GUILFORD, CT 06437

    Phone: (203) 789-2255

    Fax: (203) 495-1888

    Type: Mailing

  • 50 BEECHWOOD DR

    MADISON, CT 064431847

    Phone: (860) 552-9310

    Type: Location

  • 250 FLAT ROCK PL

    WESTBROOK, CT 064983585

    Phone: (860) 358-3640

    Fax: (860) 358-8656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $4,356.

Total Amount is formed as General ($4,356) + Research ($0) + Ownership ($0) = $4,356.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,147).

Total Amount

$4,356

General + Research + Ownership

Payments

162

Total payment records

General Amount

$4,356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210804000218IPhysician AssistantCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3126$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 06437)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719992734View full group profile
NameSpecialtyState
Nurse PractitionerCT
Rheumatology, Internal MedicineCT
-CT
R H E U M A T O L O G YCT
R H E U M A T O L O G YCT

Reviews

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Frequently asked questions

What identifier follows MARY JOSEPHINE ELLIOTT (PA-C) across health systems?
The NPI 1710594403 uniquely identifies MARY JOSEPHINE ELLIOTT (PA-C) in U.S. healthcare data.
Is MARY JOSEPHINE ELLIOTT (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MARY JOSEPHINE ELLIOTT (PA-C) as active.
Which specialty label fits MARY JOSEPHINE ELLIOTT (PA-C)?
NPPES ties MARY JOSEPHINE ELLIOTT (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY JOSEPHINE ELLIOTT (PA-C)?
MARY JOSEPHINE ELLIOTT (PA-C) is associated with Guilford, Connecticut in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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