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ERICA STEVENS
NPI 1164006086
Nurse Practitioner - Family in North Haven, CT

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
6 DEVINE ST, NORTH HAVEN, CT 06473(203) 407-8002 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, May 6, 2021 (2 updates tracked since 2021).

About Erica Stevens NPPES

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

ERICA STEVENS (NPI 1164006086) is an individual family provider in North Haven, Connecticut, licensed in Connecticut (010124) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164006086
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA STEVENS
Location Address6 DEVINE STNorth Haven, CT 06473-2195
Mailing Address6 Devine StNorth Haven, CT 06473-2195
Phone(203) 407-8002
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1164006086 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 · 010124
Also ListedRegistered NurseTaxonomy 163W00000X · License 120060 (CT)
6 DEVINE ST, North Haven, CT 06473
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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

Erica Stevens 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 ID5294121380
PECOS Enrollment IDI20220329000949
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
325 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services26 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
35 services15 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
25 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06473 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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

DR. SCOTT BOURRET
Pharmacist (Oncology)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6222
DR. JHEISON GIRALDO MD
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
ALEXANDER ROBERT GHINCEA MD
Internal Medicine (Pulmonary Disease)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 495-2410
GABRIELA RESTO
Pharmacist
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 230-3940
ALBERT WU
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
DR. JUNGHEE JENNY SHIN M.D.,PH.D
Allergy & Immunology
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
DR. ERIN LONGBRAKE MD
Psychiatry & Neurology (Neurology)
6 DEVINE ST, SUITE 2B
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6100
DR. FOTIOS KOUMPOURAS M. D.
Internal Medicine (Rheumatology)
6 DEVINE ST, SUITE 2B
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 737-5430

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 Erica Stevens's NPI number?

The NPI number for Erica Stevens is 1164006086. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Erica Stevens located?

Erica Stevens practices at 6 Devine St, North Haven, CT 06473. The listed phone number is (203) 407-8002.

What is Erica Stevens's specialty?

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

Is Erica Stevens enrolled in Medicare?

Yes. Erica Stevens 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 Erica Stevens was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.