KAITLIN HEANEY CONCANNON APRN
NPI 1073455978
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT
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 and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlin Heaney Concannon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaitlin Concannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 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 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.
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.
HARTFORD, CT 06106
HARTFORD, CT 06106
HARTFORD, CT 06106
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.
Which organization bills Medicare for Kaitlin Concannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Concannon reassigns Medicare benefits to Hartford Hospital (Hartford, CT). The 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 Kaitlin Concannon'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 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 2 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.
# Kaitlin Heaney Concannon, APRN · NPI 1073455978
Psychiatric/Mental Health physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 8, 2026.
## Identity
- **NPI:** 1073455978 (Entity type: Individual)
- **Enumerated:** April 8, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 17588 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 RETREAT AVE, Hartford, CT 06106-3310
- **Phone:** (860) 545-7909
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hartford Hospital (NPI 1407806391, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** August 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073455978) · Data from the CMS NPPES public registry.