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MR. EVEROL M ENNIS JR. APRN
NPI 1205069614
Nurse Practitioner - Adult Health in Rocky Hill, CT

Active since September 01, 2009PECOS Enrolled
400 CAPITAL BLVD, SUITE 3-134, ROCKY HILL, CT 06067(860) 227-1343 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Everol M Ennis Jr. Aprn NPPES

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

MR. EVEROL M ENNIS JR. APRN (NPI 1205069614) is an individual adult health provider in Rocky Hill, Connecticut, licensed in Connecticut (004168) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205069614
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. EVEROL M ENNIS JR.Credential: APRN
Location Address400 CAPITAL BLVD, SUITE 3-134Rocky Hill, CT 06067-3576
Mailing Address196 Woodland DrCheshire, CT 06410-1645
Phone(860) 227-1343
Sole ProprietorNo
Enumeration DateSeptember 1, 2009
Last NPPES UpdateMay 9, 2014
✔ NPI 1205069614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 004168
400 CAPITAL BLVD, Rocky Hill, CT 06067
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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 (PECOS)

Mr. Everol M Ennis Jr. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06067 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.

MICHELLE S KODUAH APRN
Nurse Practitioner (Family)
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (860) 221-0791
MRS. VANESSA SIEGRIST APRN
Nurse Practitioner
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (860) 305-5420
KELSEY MCDONNELL DNP
Nurse Practitioner
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (203) 530-7007
JANICE DE LEON
Nurse Practitioner (Adult Health)
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (203) 848-0486
AFUA ASEMNOR NP
Nurse Practitioner (Family)
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (860) 221-0255
CAROLYN KOLB FORTE PA-C
Physician Assistant
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (860) 221-0255
MORGAN CAFFREY DNP, FNP
Nurse Practitioner (Family)
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (203) 592-9123
CATHY KIERNOZEK APRN
Nurse Practitioner (Adult Health)
400 CAPITAL BLVD
ROCKY HILL, CT 06067
Capitol Planning Region (860) 221-0549

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 Everol Ennis's NPI number?

The NPI number for Everol Ennis is 1205069614. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Where is Everol Ennis located?

Everol Ennis practices at 400 Capital Blvd Suite 3-134, Rocky Hill, CT 06067. The listed phone number is (860) 227-1343.

What is Everol Ennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Everol Ennis enrolled in Medicare?

Yes. Everol Ennis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Everol Ennis was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.