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ELIZABETH A MAYERSON APRN
NPI 1053367060
Nurse Practitioner - Family in Coventry, CT

Active since May 25, 2006PECOS Enrolled
1776 BOSTON TPKE, COVENTRY, CT 06238(860) 742-0807(860) 742-8702 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth A Mayerson Aprn NPPES

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

ELIZABETH A MAYERSON APRN (NPI 1053367060) is an individual family provider in Coventry, Connecticut, licensed in Connecticut (000781) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053367060
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH A MAYERSONCredential: APRN
Location Address1776 BOSTON TPKECoventry, CT 06238-1160
Mailing Address1776 Boston TpkeCoventry, CT 06238-1160 · (860) 742-0807 · Fax (860) 742-8702
Phone(860) 742-0807
Fax(860) 742-8702
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 31, 2011
✔ NPI 1053367060 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
License✔ Licensed in CT · 000781
Also ListedNurse PractitionerTaxonomy 363L00000X · License 000781 (CT)
1776 BOSTON TPKE, Coventry, CT 06238
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Other Names 1

Former Name (1)Elizabeth Cline

Other Identifiers 2

Medicare UPINP22245CT
Other1053367060Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth A Mayerson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Elizabeth Mayerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charter Oak Health Center, Inc.
16 mi
Federally Qualified Health Center (FQHC)
21 GRAND ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 107 clinicians in this Medicare group
NPI 1992750855 (860) 550-7500
Hartford Healthcare Medical Group, Inc
16 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033

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 06238 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.

Other Providers at the Same Location NPPES 2

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

ARLEEN RITA SERGIS D.O.
Family Medicine
1776 BOSTON TPKE
COVENTRY, CT 06238
Capitol Planning Region (860) 742-7315
DR. MICHAEL EUGENE KEENAN M.D.
Internal Medicine
1776 BOSTON TPKE
COVENTRY, CT 06238
Capitol Planning Region (860) 742-0807

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 Elizabeth Mayerson's NPI number?

The NPI number for Elizabeth Mayerson is 1053367060. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Elizabeth Cline.

Where is Elizabeth Mayerson located?

Elizabeth Mayerson practices at 1776 Boston Tpke, Coventry, CT 06238. The listed phone number is (860) 742-0807.

What is Elizabeth Mayerson's specialty?

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

Is Elizabeth Mayerson enrolled in Medicare?

Yes. Elizabeth Mayerson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Mayerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mayerson reassigns Medicare benefits to 2 organizations: Charter Oak Health Center, Inc. (Hartford, CT) and Hartford Healthcare Medical Group, Inc (Wethersfield, 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 Elizabeth Mayerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Mayerson was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.