STEPHANIE ROSS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1770212748
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for STEPHANIE ROSS (APRN)
415 MAIN ST
WEST HAVEN, CT 065164296
Phone:
Type: Mailing
32 POVERTY RD
SOUTHBURY, CT 064882385
Phone: (203) 598-0552
Fax: (203) 586-1105
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($150).
Total Amount
$225
General + Research + Ownership
Payments
11
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $150 |
| Lilly USA, LLC | $36 |
| GlaxoSmithKline, LLC. | $24 |
| IDORSIA PHARMACEUTICALS US INC | $16 |
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: 2022-12-19
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 |
|---|---|---|---|---|
| I20221219000640 | 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 06516)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine, Hospitalist, Internal Medicine | NY |
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