GRACE MARIE CARVER SANFILIPPO
NPI 1003204652
Nurse Practitioner - Family in Norwich, CT

Active since January 06, 2015PECOS EnrolledAccepts Medicare Assignment
58.2/100
CMS Quality Rating

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2023, Jan 27, 2020, May 15, 2018 (3 updates tracked since 2018).

About Grace Marie Carver Sanfilippo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE MARIE CARVER SANFILIPPO (NPI 1003204652) is an individual family provider in Norwich, Connecticut, licensed in Connecticut (7322) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003204652
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE MARIE CARVER SANFILIPPO
Location Address17 CASE STNorwich, CT 06360-2208
Mailing Address17 Case StNorwich, CT 06360-2208 · (860) 886-2461
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 6, 2015
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1003204652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CT · 7322✔ Licensed in NY · 340312✔ Licensed in MA · RN2321628
Also ListedRegistered NurseTaxonomy 163W00000X · License 692706 (NY)
17 CASE ST, Norwich, CT 06360

Secondary Practice Locations 3

Location 145 Dimock StRoxbury, MA 02119-1208 · Phone (617) 442-8800 · Fax (617) 541-8334
Location 27 Dwight St Apt 4Boston, MA 02118 · Phone (860) 884-8556
Location 3111 Wadsworth Ave, #23GNew York, NY 10033-6102 · Phone (860) 884-8556

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Marie Carver Sanfilippo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850656307
PECOS Enrollment IDI20201119001158
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Grace Sanfilippo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
17 CASE ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 23 clinicians in this Medicare group
Ambulatory Family Planning Facility
345 WHITNEY AVE
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 120 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities0
Cost44.02

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
17 CASE ST
NORWICH, CT 06360
Specialist
17 CASE ST
NORWICH, CT 06360
Obstetrics & Gynecology
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360
Obstetrics & Gynecology
17 CASE ST
NORWICH, CT 06360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Sanfilippo's NPI number?

The NPI number for Grace Sanfilippo is 1003204652. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Where is Grace Sanfilippo located?

Grace Sanfilippo practices at 17 Case St, Norwich, CT 06360. The listed phone number is (860) 886-2461.

What is Grace Sanfilippo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace Sanfilippo enrolled in Medicare?

Yes. Grace Sanfilippo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Grace Sanfilippo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Sanfilippo reassigns Medicare benefits to 2 organizations: Ob-Gyn Services, P.C. (Norwich, CT) and Planned Parenthood Of Southern New England, Inc. (New Haven, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Sanfilippo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Sanfilippo accept?

Health plans from Anthem Blue Cross and Blue Shield list Grace Sanfilippo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Sanfilippo was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.