EDDIELIZA CASIONAN APRN
NPI 1235714551
Nurse Practitioner in Manchester, CT
About Eddieliza Casionan Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIELIZA CASIONAN APRN (NPI 1235714551) is an individual nurse practitioner in Manchester, Connecticut, licensed in Connecticut (9581) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eddieliza Casionan Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Eddieliza Casionan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01105
- Reassigned Medicare billing, Massachusetts enrollment
- 4 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Ctr
Acute Care Hospitals · Springfield, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06040 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.
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
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 Eddieliza Casionan's NPI number?
The NPI number for Eddieliza Casionan is 1235714551. It was assigned to this individual provider in the NPPES registry on March 17, 2021.
Where is Eddieliza Casionan located?
Eddieliza Casionan practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.
What is Eddieliza Casionan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Eddieliza Casionan enrolled in Medicare?
Yes. Eddieliza Casionan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Eddieliza Casionan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddieliza Casionan reassigns Medicare benefits to City Of Springfield (Springfield, MA). 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 Eddieliza Casionan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Eddieliza Casionan affiliated with any hospitals?
According to CMS data, Eddieliza Casionan is affiliated with Mercy Medical Ctr.
When was this NPI record last updated?
The NPPES record for Eddieliza Casionan was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Eddieliza Casionan, APRN · NPI 1235714551
Nurse Practitioner physician in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1235714551 (Entity type: Individual)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 9581 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 71 HAYNES ST, Manchester, CT 06040-4131
- **Phone:** (860) 646-1222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** City Of Springfield (NPI 1962531004, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235714551) · Data from the CMS NPPES public registry.