PHILIP MIRACLE ENNIN JR. APRN
NPI 1124843503
Nurse Practitioner in Plainville, CT
About Philip Miracle Ennin Jr. Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP MIRACLE ENNIN JR. APRN (NPI 1124843503) is an individual nurse practitioner in Plainville, Connecticut, licensed in Connecticut (14447) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Philip Miracle Ennin Jr. 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 Philip Ennin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 107 clinicians in this Medicare group
Stamford, CT 06902
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Careconnectmd Connecticut P.C.
- 168 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 142 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 149 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 06062 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 4
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 Philip Ennin's NPI number?
The NPI number for Philip Ennin is 1124843503. It was assigned to this individual provider in the NPPES registry on November 20, 2024.
Where is Philip Ennin located?
Philip Ennin practices at 269 Farmington Ave, Plainville, CT 06062. The listed phone number is (860) 655-2432.
What is Philip Ennin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Philip Ennin enrolled in Medicare?
Yes. Philip Ennin 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 Philip Ennin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Ennin reassigns Medicare benefits to 4 organizations: Charter Oak Health Center, Inc. (Hartford, CT), Careconnectmd Connecticut PC (Stamford, CT), Value Based Long Term Care H PC (Framingham, MA) and Hdc Care Solutions, LLC (Framingham, MA). 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 Philip Ennin'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 Philip Ennin was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Philip Miracle Ennin Jr., APRN · NPI 1124843503
Nurse Practitioner physician in Plainville, Connecticut. Individual provider, active in the CMS NPPES registry since November 20, 2024.
## Identity
- **NPI:** 1124843503 (Entity type: Individual)
- **Enumerated:** November 20, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 14447 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 269 FARMINGTON AVE, Plainville, CT 06062-1335
- **Phone:** (860) 655-2432
## 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): Charter Oak Health Center, Inc. (NPI 1992750855, Hartford, CT); Careconnectmd Connecticut PC (NPI 1467187336, Stamford, CT); Value Based Long Term Care H PC (NPI 1134951676, Framingham, MA); Hdc Care Solutions, LLC (NPI 1033861349, Framingham, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1124843503) · Data from the CMS NPPES public registry.