ALICE GANCSOS APRN
NPI 1144501800
Nurse Practitioner - Acute Care in Monroe, CT

Active since September 07, 2011PECOS EnrolledAccepts Medicare Assignment
324 ELM ST STE 202B, MONROE, CT 06468(203) 880-5335 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alice Gancsos Aprn NPPES

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

ALICE GANCSOS APRN (NPI 1144501800) is an individual acute care provider in Monroe, Connecticut, licensed in Connecticut (4787) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2011).

NPPES Registry Identity

NPI1144501800
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameALICE GANCSOSCredential: APRN
Location Address324 ELM ST STE 202BMonroe, CT 06468-2284
Mailing Address65 Dwight St, #55New Haven, CT 06511-5358 · (617) 913-3610
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2011
Enumeration DateSeptember 7, 2011
Last NPPES UpdateApril 9, 2019
NPI 1144501800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CT · 4787
324 ELM ST STE 202B, Monroe, CT 06468

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

Alice Gancsos 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 ID7214154228
PECOS Enrollment IDI20140815000765
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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,238 services136 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
940 services126 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
285 services100 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
49 services46 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
38 services31 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06468 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.

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%97 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Adult Health)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner
324 ELM ST STE 202B
MONROE, CT 06468

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 Alice Gancsos's NPI number?

The NPI number for Alice Gancsos is 1144501800. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Alice Gancsos located?

Alice Gancsos practices at 324 Elm St Ste 202B, Monroe, CT 06468. The listed phone number is (203) 880-5335.

What is Alice Gancsos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Alice Gancsos enrolled in Medicare?

Yes. Alice Gancsos 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 Alice Gancsos was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.