COGNIVIA CARE LLC
NPI 1053105411
Nurse Practitioner - Psychiatric/Mental Health in Manchester, CT
About Cognivia Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COGNIVIA CARE LLC (NPI 1053105411) is a healthcare organization registered as a psychiatric/mental health in Manchester, Connecticut and active in the NPI registry since April 2025. The organization lists Kerisha S Prince, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cognivia Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cognivia Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cognivia Care LLC's NPI number?
The NPI number for Cognivia Care LLC is 1053105411. It was assigned to this organization in the NPPES registry on April 8, 2025.
Where is Cognivia Care LLC located?
Cognivia Care LLC is located at 903 Main St, Manchester, CT 06040. The listed phone number is (860) 854-4733.
What is Cognivia Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Cognivia Care LLC enrolled in Medicare?
Yes. Cognivia Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cognivia Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cognivia Care LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cognivia Care LLC was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Cognivia Care Llc · NPI 1053105411
Psychiatric/Mental Health organization in Manchester, Connecticut. Organization record, active in the CMS NPPES registry since April 8, 2025.
## Identity
- **NPI:** 1053105411 (Entity type: Organization)
- **Enumerated:** April 8, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Kerisha Prince, OWNER
## Practice location
- **Address:** 903 MAIN ST, Manchester, CT 06040-6008
- **Phone:** (860) 854-4733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053105411) · Data from the CMS NPPES public registry.