ANN EDDINGER APRN
NPI 1073709523
Nurse Practitioner - Family in Middletown, CT

Active since September 19, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
635 MAIN ST, MIDDLETOWN, CT 06457(860) 347-6971(860) 343-7379 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ann Eddinger Aprn NPPES

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

ANN EDDINGER APRN (NPI 1073709523) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (003675) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2007).

NPPES Registry Identity

NPI1073709523
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANN EDDINGERCredential: APRN
Location Address635 MAIN STMiddletown, CT 06457-2718
Mailing Address635 Main St, Attn: Credentialing DptMiddletown, CT 06457-2718 · (860) 347-6971
Fax(860) 343-7379
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2007
Enumeration DateSeptember 19, 2007
Last NPPES UpdateFebruary 13, 2012
NPI 1073709523 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 · 003675
Also ListedRegistered NurseTaxonomy 163W00000X · License 078033 (CT)
635 MAIN ST, Middletown, CT 06457

Other Identifiers 2

Medicare PIN500002101CT
Medicaid004236346CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ann Eddinger Aprn 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 ID4880782135
PECOS Enrollment IDI20071120000258
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers60 claims60 services$33.78 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier18 claims36 services$1.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers49 claims49 services$77.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers51 claims129 services$28.57 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims59 services$13.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers23 claims23 services$45.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker
635 MAIN ST
MIDDLETOWN, CT 06457
Social Worker
635 MAIN ST
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Child & Adolescent Psychiatry)
635 MAIN ST
MIDDLETOWN, CT 06457
Registered Nurse
635 MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
635 MAIN ST
MIDDLETOWN, CT 06457
Psychologist
635 MAIN ST
MIDDLETOWN, CT 06457
Dental Hygienist
635 MAIN ST
MIDDLETOWN, CT 06457
Psychologist (Clinical)
635 MAIN ST
MIDDLETOWN, CT 06457

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 Ann Eddinger's NPI number?

The NPI number for Ann Eddinger is 1073709523. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Ann Eddinger located?

Ann Eddinger practices at 635 Main St, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Ann Eddinger's specialty?

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

Is Ann Eddinger enrolled in Medicare?

Yes. Ann Eddinger 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.

When was this NPI record last updated?

The NPPES record for Ann Eddinger was last updated on February 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.