LENORE ANN CARROLL APRN, BC
NPI 1295943439
Nurse Practitioner - Family in Middletown, CT

Active since May 20, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
420 SAYBROOK RD STE A, MIDDLETOWN, CT 06457(860) 636-2010(860) 636-2045 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2022, Feb 25, 2019 (2 updates tracked since 2019).

About Lenore Ann Carroll Aprn, Bc NPPES

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

LENORE ANN CARROLL APRN, BC (NPI 1295943439) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (9883) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1295943439
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLENORE ANN CARROLLCredential: APRN, BC
Location Address420 SAYBROOK RD STE AMiddletown, CT 06457-4747
Mailing Address1290 Silas Deane Hwy, Hartford Healthcare-cvoWethersfield, CT 06109-4337
Fax(860) 636-2045
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 20, 2007
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
NPI 1295943439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CT · 9883 Licensed in NY · 335154
420 SAYBROOK RD STE A, Middletown, CT 06457

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lenore Ann Carroll Aprn, Bc 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.

PECOS PAC ID8426378761
PECOS Enrollment IDI20211210001333
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services128 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
112 services95 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
420 SAYBROOK RD STE A
MIDDLETOWN, CT 06457
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD STE A
MIDDLETOWN, CT 06457
Physician Assistant (Medical)
420 SAYBROOK RD STE A
MIDDLETOWN, CT 06457
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD STE A
MIDDLETOWN, CT 06457
Nurse Practitioner (Adult Health)
420 SAYBROOK RD STE A
MIDDLETOWN, CT 06457
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD STE A
MIDDLETOWN, CT 06457

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 Lenore Carroll's NPI number?

The NPI number for Lenore Carroll is 1295943439. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Lenore Carroll located?

Lenore Carroll practices at 420 Saybrook Rd Ste A, Middletown, CT 06457. The listed phone number is (860) 636-2010.

What is Lenore Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lenore Carroll enrolled in Medicare?

Yes. Lenore Carroll 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.

When was this NPI record last updated?

The NPPES record for Lenore Carroll was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.