PRIME HEALTHCARE, PC
NPI 1184819302
Internal Medicine in Wethersfield, CT
About Prime Healthcare, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME HEALTHCARE, PC (NPI 1184819302) is a healthcare organization registered as an internal medicine in Wethersfield, Connecticut and active in the NPI registry since September 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 30, 2027 and lists Susan Albano, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 12
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Healthcare, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
116Medicare enrollment records show 116 clinicians reassign Medicare billing to Prime Healthcare, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 116Hartford, CT 06102
Glastonbury, CT 06033
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 07D2310544
Prime Healthcare Laboratory · Wethersfield, CTFrequently 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 Prime Healthcare, PC's NPI number?
The NPI number for Prime Healthcare, PC is 1184819302. It was assigned to this organization in the NPPES registry on September 11, 2007.
Where is Prime Healthcare, PC located?
Prime Healthcare, PC is located at 30 Jordan Ln, Wethersfield, CT 06109. The listed phone number is (860) 263-0253.
What is Prime Healthcare, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prime Healthcare, PC enrolled in Medicare?
Yes. Prime Healthcare, PC is registered in the Medicare PECOS enrollment system.
When is Prime Healthcare, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prime Healthcare, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 10 Medicare specialties reassign their Medicare billing to Prime Healthcare, PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (66), Internal Medicine (15) and Family Practice (14). Of these, 5 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prime Healthcare, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 07D2310544) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prime Healthcare, PC was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Prime Healthcare, Pc · NPI 1184819302
Internal Medicine organization in Wethersfield, Connecticut. Organization record, active in the CMS NPPES registry since September 11, 2007.
## Identity
- **NPI:** 1184819302 (Entity type: Organization)
- **Enumerated:** September 11, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Susan Albano, CEO
## Practice location
- **Address:** 30 JORDAN LN, Wethersfield, CT 06109-1278
- **Phone:** (860) 263-0253 · **Fax:** (860) 263-0262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 116 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (66), Internal Medicine (15), Family Practice (14); 5 practice at this address and 54 within 10 miles; [full list](https://npiprofile.com/npi/1184819302/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2015
- **Other identifiers:** Medicaid 008058707 (CT); Medicaid 004185147 (CT); Medicaid 004201480 (CT); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184819302) · Data from the CMS NPPES public registry.