EMINA EFENDIC APRN
NPI 1093363301
Registered Nurse - Psychiatric/Mental Health, Adult in New Britain, CT
About Emina Efendic Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMINA EFENDIC APRN (NPI 1093363301) is an individual psychiatric/mental health, adult provider in New Britain, Connecticut, licensed in Connecticut (94515) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Emina Efendic 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.
Medicare Billing Reassignments
4Medicare enrollment records show Emina Efendic reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Britain, CT 06051
- Reassigned Medicare billing, Connecticut enrollment
- 53 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 94 clinicians in this Medicare group
Vernon, CT 06066
- Reassigned Medicare billing, Connecticut enrollment
- 96 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.
Areas of Expertise CMS Part B claims 2
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.
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.
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.
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 Emina Efendic's NPI number?
The NPI number for Emina Efendic is 1093363301. It was assigned to this individual provider in the NPPES registry on August 29, 2019.
Where is Emina Efendic located?
Emina Efendic practices at 233 Main St, New Britain, CT 06051. The listed phone number is (860) 224-8192.
What is Emina Efendic's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.
Is Emina Efendic enrolled in Medicare?
Yes. Emina Efendic 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.
Which organizations bill Medicare for Emina Efendic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emina Efendic reassigns Medicare benefits to 4 organizations: Community Mental Health Affiliates Inc (New Britain, CT), Hartford Hospital (Hartford, CT), Prospect Manchester Hospital, Inc. (Manchester, CT) and Prospect Rockville Hospital, Inc. (Vernon, 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 Emina Efendic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emina Efendic accept?
Health plans from Anthem Blue Cross and Blue Shield list Emina Efendic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Emina Efendic was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Emina Efendic, APRN · NPI 1093363301
Psychiatric/Mental Health, Adult provider in New Britain, Connecticut. Individual provider, active in the CMS NPPES registry since August 29, 2019.
## Identity
- **NPI:** 1093363301 (Entity type: Individual)
- **Enumerated:** August 29, 2019
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health, Adult · taxonomy 163WP0809X
- **State license:** 94515 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 233 MAIN ST, New Britain, CT 06051-4204
- **Phone:** (860) 224-8192
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Community Mental Health Affiliates Inc (NPI 1174624423, New Britain, CT); Hartford Hospital (NPI 1407806391, Hartford, CT); Prospect Manchester Hospital, Inc. (NPI 1316394638, Manchester, CT); Prospect Rockville Hospital, Inc. (NPI 1205283538, Vernon, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093363301) · Data from the CMS NPPES public registry.