MRS. RENEE PATRICE DIVINE
NPI 1245028521
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, CT
About Mrs. Renee Patrice Divine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. RENEE PATRICE DIVINE (NPI 1245028521) is an individual psychiatric/mental health provider in Fairfield, Connecticut, licensed in Connecticut (NA) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
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 (PECOS)
Mrs. Renee Patrice Divine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Renee Divine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ansonia, CT 06401
- Reassigned Medicare billing, Connecticut enrollment
- 83 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 06824 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 Renee Divine's NPI number?
The NPI number for Renee Divine is 1245028521. It was assigned to this individual provider in the NPPES registry on April 28, 2025.
Where is Renee Divine located?
Renee Divine practices at 1073 N Benson Rd, Fairfield, CT 06824. The listed phone number is (203) 254-4000.
What is Renee Divine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Renee Divine enrolled in Medicare?
Yes. Renee Divine is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Renee Divine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renee Divine reassigns Medicare benefits to Bhcare, Inc. (Ansonia, 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 Renee Divine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Renee Divine was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mrs. Renee Patrice Divine · NPI 1245028521
Psychiatric/Mental Health physician in Fairfield, Connecticut. Individual provider, active in the CMS NPPES registry since April 28, 2025.
## Identity
- **NPI:** 1245028521 (Entity type: Individual)
- **Enumerated:** April 28, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NA (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1073 N BENSON RD, Fairfield, CT 06824-5195
- **Phone:** (203) 254-4000
## 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:** Bhcare, Inc. (NPI 1306042700, Ansonia, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 28, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1245028521) · Data from the CMS NPPES public registry.