KATHLEEN A ENNIS (APRN, DNPC) – Family Nurse Practitioner, NPI 1750417358
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 KATHLEEN A ENNIS (APRN, DNPC)
30 ORCHARD ST
COS COB, CT 068072403
Phone: (203) 253-2225
Fax: (203) 869-4421
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 199 Open Payments records for all available years, with a total value of $6,135.
Total Amount is formed as General ($6,135) + Research ($0) + Ownership ($0) = $6,135.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,778).
Total Amount
$6,135
General + Research + Ownership
Payments
199
Total payment records
General Amount
$6,135
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,778 |
| Otsuka America Pharmaceutical, Inc. | $1,490 |
| Lundbeck LLC | $628 |
| ITI, Inc. | $388 |
| Axsome Therapeutics, Inc. | $351 |
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: 2008-01-10
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 |
|---|---|---|---|---|
| I20080110000159 | 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 06807)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | CT | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 117 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist, Mental Health Counselor | NY | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | CT | |
| Mental Health Counselor | CT | |
| Mental Health Counselor | NY | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT |
Reviews
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