MISS ITORO JOSEPH ETIM
NPI 1184334633
Nurse Practitioner in Meriden, CT

Active since November 23, 2022PECOS EnrolledAccepts Medicare Assignment
816 BROAD ST, MERIDEN, CT 06450(203) 238-1125 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 20, 2023, Mar 3, 2023, Nov 23, 2022 (3 updates tracked since 2022).

About Miss Itoro Joseph Etim NPPES

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

MISS ITORO JOSEPH ETIM (NPI 1184334633) is an individual nurse practitioner in Meriden, Connecticut, licensed in Connecticut (11263) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184334633
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS ITORO JOSEPH ETIM
Location Address816 BROAD STMeriden, CT 06450-4350
Mailing Address547 N Elm StWallingford, CT 06492-3268 · (860) 508-8587
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 23, 2022
Last NPPES UpdateMarch 20, 20233 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
NPI 1184334633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CT · 11263
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

816 BROAD ST, Meriden, CT 06450

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

Miss Itoro Joseph Etim 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 ID8729446539
PECOS Enrollment IDI20230626002418
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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services92 patients
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.
103 services78 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
20 services19 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
19 services19 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06450 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.

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.

Family Medicine
816 BROAD ST
MERIDEN, CT 06450
Family Medicine
816 BROAD ST, SUITE 24
MERIDEN, CT 06450
Internal Medicine
816 BROAD ST, SUITE 29
MERIDEN, CT 06450
Internal Medicine
816 BROAD ST, SUITE 29
MERIDEN, CT 06450
Pediatrics
816 BROAD ST
MERIDEN, CT 06450
Family Medicine
816 BROAD ST, SUITE 24
MERIDEN, CT 06450
Physical Therapist
816 BROAD ST
MERIDEN, CT 06450
Obstetrics & Gynecology
816 BROAD ST, BLD 1 UNIT 21
MERIDEN, CT 06450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184334633, enumerated as an "individual" on November 23, 2022.

The provider is located at 816 BROAD ST MERIDEN, CT 06450 and the phone number is (203) 238-1125.

Nurse Practitioner with taxonomy code 363L00000X.