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DELORETTA THERESA ECKENRODE NP
NPI 1083663058
Nurse Practitioner - Family in Milford, CT

Active since May 08, 2006PECOS Enrolled
31 CHERRY ST STE 1, MILFORD, CT 06460(203) 874-7001 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2024, Jun 26, 2018, May 8, 2018 and 1 more (4 updates tracked since 2017).

About Deloretta Theresa Eckenrode Np NPPES

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

DELORETTA THERESA ECKENRODE NP (NPI 1083663058) is an individual family provider in Milford, Connecticut, licensed in Connecticut (3709) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083663058
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELORETTA THERESA ECKENRODECredential: NP
Location Address31 CHERRY ST STE 1Milford, CT 06460-3465
Mailing Address31 Cherry St Ste 1Milford, CT 06460-3465 · (203) 874-7001 · Fax (203) 874-7002
Phone(203) 874-7001
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1083663058 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 · 3709
Also ListedNurse PractitionerTaxonomy 363L00000X · License F332927 (NY)
31 CHERRY ST STE 1, Milford, CT 06460
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Other Names 1

Former Name (1)Deloretta Theresa Lawrence Np

Other Identifiers 1

Medicaid008001644CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deloretta Theresa Eckenrode Np 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 06460 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.

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 Deloretta Eckenrode's NPI number?

The NPI number for Deloretta Eckenrode is 1083663058. It was assigned to this individual provider in the NPPES registry on May 8, 2006. The provider is also known as Deloretta Theresa Lawrence Np.

Where is Deloretta Eckenrode located?

Deloretta Eckenrode practices at 31 Cherry St Ste 1, Milford, CT 06460. The listed phone number is (203) 874-7001.

What is Deloretta Eckenrode's specialty?

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

Is Deloretta Eckenrode enrolled in Medicare?

Yes. Deloretta Eckenrode is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deloretta Eckenrode was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.