Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLIN HEANEY CONCANNON APRN
NPI 1073455978
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT

Active since April 08, 2026PECOS Enrolled
200 RETREAT AVE, HARTFORD, CT 06106(860) 545-7909 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 14, 2026, Apr 8, 2026 (2 updates tracked since 2026).

About Kaitlin Heaney Concannon Aprn NPPES

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

KAITLIN HEANEY CONCANNON APRN (NPI 1073455978) is an individual psychiatric/mental health provider in Hartford, Connecticut, licensed in Connecticut (17588) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073455978
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAITLIN HEANEY CONCANNONCredential: APRN
Location Address200 RETREAT AVEHartford, CT 06106-3310
Mailing Address200 Retreat AveHartford, CT 06106-3310 · (860) 545-7909
Sole ProprietorNo
Enumeration DateApril 8, 2026
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
NPI 1073455978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CT · 17588
200 RETREAT AVE, Hartford, CT 06106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlin Heaney Concannon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Speech-Language Pathologist
200 RETREAT AVE
HARTFORD, CT 06106
Nurse Practitioner (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Marriage & Family Therapist
200 RETREAT AVE
HARTFORD, CT 06106
Clinical Neuropsychologist
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT
HARTFORD, CT 06106
Psychiatry & Neurology (Psychiatry)
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Social Worker
200 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
200 RETREAT AVE
HARTFORD, CT 06106

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 Kaitlin Concannon's NPI number?

The NPI number for Kaitlin Concannon is 1073455978. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Kaitlin Concannon located?

Kaitlin Concannon practices at 200 Retreat Ave, Hartford, CT 06106. The listed phone number is (860) 545-7909.

What is Kaitlin Concannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kaitlin Concannon enrolled in Medicare?

Yes. Kaitlin Concannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Concannon was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.