ELISE HETTENBACH
NPI 1104432996
Nurse Practitioner - Family in New Haven, CT

Q: What is Elise Hettenbach's NPI number?

The NPI number for Elise Hettenbach is 1104432996. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Q: What is Elise Hettenbach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elise Hettenbach was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 17, 2020

73.56/100

CMS Quality Rating

789 HOWARD AVE, NEW HAVEN, CT 06519(888) 461-0106 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Sep 17, 2020 (2 updates tracked since 2020).

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About Elise Hettenbach NPPES

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

ELISE HETTENBACH (NPI 1104432996) is an individual family provider in New Haven, Connecticut, licensed in Connecticut (9191) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1104432996

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELISE HETTENBACH

Location Address789 HOWARD AVENew Haven, CT 06519-1304

Mailing Address789 Howard AveNew Haven, CT 06519-1304

Phone(888) 461-0106

Sole ProprietorNo

Enumeration DateSeptember 17, 2020

Last NPPES UpdateApril 12, 20212 updates tracked since enumeration

NPPES CertifiedApril 12, 2021

✔ NPI 1104432996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CT · 9191

789 HOWARD AVE, New Haven, CT 06519

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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.

73.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.84

Promoting Interoperability

Improvement Activities

Cost

51.43

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.

CYRUS R KAPADIA MD

Internal Medicine (Gastroenterology)

789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4138

PEDRO JOSE GONZALEZ JIMENEZ

Pediatrics (Pediatric Emergency Medicine)

789 HOWARD AVE, YNHH PEDIATRICS
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-5555

DR. AMIT N VORA MD

Internal Medicine (Interventional Cardiology)

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-7960

DEVIKA KIR MD

Internal Medicine (Interventional Cardiology)

789 HOWARD AVE, YNHH,
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-5555

LOUISE MARIE DEMBRY MD

Internal Medicine (Infectious Disease)

789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4629

PRIYANKA DEB M.D.

Radiology (Diagnostic Radiology)

789 HOWARD AVE, TOMPKINS EAST BUILDING ROOM 2-230
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2385

MRS. KATHLEEN O'CONNOR FRAME ANP-C, WHNP-BC, APRN

Nurse Practitioner (Adult Health)

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-5555

VIDHI PATEL

Pharmacist

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (888) 461-0106

CAMILLE ANN BROWN MD

Pediatrics

789 HOWARD AVE, YALE PEDIATRICS, DANA BUILDING
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-2468

JACK A ELIAS MD

Internal Medicine (Pulmonary Disease)

789 HOWARD AVE, FITKIN BUILDING - 2ND FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4198

CATHERINE ROSE SALVA M.D.

Obstetrics & Gynecology

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (877) 925-3637

SILVIO EDWARD INZUCCHI MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

789 HOWARD AVE, DANA BUILDING - 3RD FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 737-1932

SYED MUNEEB ALAM MD

Urology

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-2815

JONATHAN KOFF M.D.

Internal Medicine (Pulmonary Disease)

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4198

GRACE BUCHLOH CNM

Midwife

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 789-3029

DR. KATHLEEN M AKGUN M.D.

Internal Medicine

789 HOWARD AVE, YALE PHYSICIANS BLDG 2ND FLR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4198

MRS. KATHERINE ELIZABETH TUCKER APRN-BC

Nurse Practitioner (Adult Health)

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4629

YALE-NEW HAVEN HOSPITAL

Dentist (General Practice)

789 HOWARD AVE, DANA 2
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 688-2464

KAYLA SIEGEL

Clinic/Center (Public Health, State or Local)

789 HOWARD AVE
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 789-3029

MARGARET J BIA MD

Internal Medicine (Nephrology)

789 HOWARD AVE, DANA BUILDING-3RD FLOOR
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 785-4184

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 Elise Hettenbach's NPI number?

The NPI number for Elise Hettenbach is 1104432996. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Elise Hettenbach located?

Elise Hettenbach practices at 789 Howard Ave, New Haven, CT 06519. The listed phone number is (888) 461-0106.

What is Elise Hettenbach's specialty?

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

When was this NPI record last updated?

The NPPES record for Elise Hettenbach was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.