MR. EVEROL M ENNIS JR. APRN
NPI 1205069614
Nurse Practitioner - Adult Health in Rocky Hill, CT
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 and maintains a secondary practice location in West Haven.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Everol Ennis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Guilford, CT 06437
- Reassigned Medicare billing, Connecticut enrollment
- 156 clinicians in this Medicare group
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 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.
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.
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.
Which organization bills Medicare for Everol Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Everol Ennis reassigns Medicare benefits to Hhc Physician Services, PLLC (Guilford, 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 Everol Ennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Everol Ennis accept?
Health plans from Anthem Blue Cross and Blue Shield list Everol Ennis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Everol Ennis was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Mr. Everol M Ennis Jr., APRN · NPI 1205069614
Adult Health physician in Rocky Hill, Connecticut. Individual provider, active in the CMS NPPES registry since September 1, 2009.
## Identity
- **NPI:** 1205069614 (Entity type: Individual)
- **Enumerated:** September 1, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 004168 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 CAPITAL BLVD, SUITE 3-134, Rocky Hill, CT 06067-3576
- **Phone:** (860) 227-1343
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hhc Physician Services, PLLC (NPI 1962212779, Guilford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205069614) · Data from the CMS NPPES public registry.