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NICOLE LANGAN MACIEJAK APRN
NPI 1174694798
Nurse Practitioner - Pediatrics in New Haven, CT

Active since November 13, 2006PECOS Enrolled
35 DAVIS STREET, SBHC, NEW HAVEN, CT 06515(475) 220-7815(475) 220-7842 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nicole Langan Maciejak Aprn NPPES

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

NICOLE LANGAN MACIEJAK APRN (NPI 1174694798) is an individual pediatrics provider in New Haven, Connecticut, licensed in Connecticut (3454) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Norwich.

NPPES Registry Identity

NPI1174694798
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICOLE LANGAN MACIEJAKCredential: APRN
Location Address35 DAVIS STREET, SBHCNew Haven, CT 06515-1601
Mailing Address255 Hempstead StNew London, CT 06320-6204
Phone(475) 220-7815
Fax(475) 220-7842
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 13, 2019
✔ NPI 1174694798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 3454
35 DAVIS STREET, New Haven, CT 06515
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Other Names 1

Former Name (1)Nicole Patrice Langan Aprn

Secondary Practice Location 1

Location 1305 BroadwayNorwich, CT 06360-3547 · Phone (860) 204-0442

Other Identifiers 1

Medicaid004271821CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Langan Maciejak Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Maciejak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornell Scott Hill Health Corporation
2.8 mi
Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1902921380 (203) 503-3000

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 06515 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.

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 Nicole Maciejak's NPI number?

The NPI number for Nicole Maciejak is 1174694798. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Nicole Patrice Langan Aprn.

Where is Nicole Maciejak located?

Nicole Maciejak practices at 35 Davis Street Sbhc, New Haven, CT 06515. The listed phone number is (475) 220-7815.

What is Nicole Maciejak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nicole Maciejak enrolled in Medicare?

Yes. Nicole Maciejak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Maciejak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Maciejak reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). The 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 Nicole Maciejak'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 Nicole Maciejak was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.