AMBER GABRIELLA VERNACATOLA – Nurse Practitioner, NPI 1770215170

AMBER GABRIELLA VERNACATOLA is a healthcare provider. based in Old lyme, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 143750 (CT). The NPI Number for AMBER GABRIELLA VERNACATOLA is 1770215170

Main info

Female
Sole Proprietor
2 Years Of Experience
Name
AMBER GABRIELLA VERNACATOLA
NPI
1770215170
Phone
Not provided
Address
12 FLAGLER AVE
Enumeration Date
26 June 2022
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
7416469184
Professional Enrollment ID
I20250626002642
Address ID
CT060400000MA335XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

4,219 NURSE PRACTITIONER in CT

Provider Addresses for AMBER GABRIELLA VERNACATOLA

  • 12 FLAGLER AVE

    OLD LYME, CT 063712429

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-26

PECOS data refreshed: 2026-06-15

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
I20250626002642INurse PractitionerCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06371)

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Reviews

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Frequently asked questions

What number should I use to identify AMBER GABRIELLA VERNACATOLA for billing?
Administrative and clinical systems typically use NPI 1770215170 for AMBER GABRIELLA VERNACATOLA.
Should I treat AMBER GABRIELLA VERNACATOLA as an active provider?
Patients and plans typically see AMBER GABRIELLA VERNACATOLA as active in the national extract.
What type of care does AMBER GABRIELLA VERNACATOLA provide?
AMBER GABRIELLA VERNACATOLA's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to AMBER GABRIELLA VERNACATOLA?
The directory associates AMBER GABRIELLA VERNACATOLA with Old Lyme, Connecticut. Check all listed addresses for suites or satellite offices.
Why is information missing for AMBER GABRIELLA VERNACATOLA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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