MANCHESTER MEMORIAL HOSPITAL
NPI 1316394638
General Acute Care Hospital in Manchester, CT

Active since May 17, 2016
71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2020, May 17, 2016 (2 updates tracked since 2016).

About Manchester Memorial Hospital NPPES

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

MANCHESTER MEMORIAL HOSPITAL (NPI 1316394638) is a healthcare organization registered as a general acute care hospital in Manchester, Connecticut and active in the NPI registry since May 2016. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1316394638
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePROSPECT MANCHESTER HOSPITAL, INC.
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address71 Haynes StManchester, CT 06040-4131 · (860) 646-1222
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateMay 17, 2016
Last NPPES UpdateDecember 30, 20202 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1316394638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedClinic/Center · Emergency CareTaxonomy 261QE0002X
71 HAYNES ST, Manchester, CT 06040

Other Names 1

Other NameManchester Memorial Hospital

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manchester Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

93

Medicare enrollment records show 93 clinicians reassign Medicare billing to Manchester Memorial Hospital, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Psychiatry37
Emergency Medicine19
Clinical Social Worker14
Nurse Practitioner12
Mental Health Counselor10
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 93
Psychiatry
NPI 1487017638
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265546774
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1073580874
71 HAYNES ST
Manchester, CT 06040
(860) 647-4778
✔ PECOSSame address
Emergency Medicine
NPI 1306818810
71 HAYNES ST EASTERN CONNECTICUT HEALTH NETWORK
Manchester, CT 06040
(860) 647-6475
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1104886084
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOSSame address
Clinical Social Worker
NPI 1598284879
71 HAYNES ST
Manchester, CT 06040
(860) 533-3434
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1235661984
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1144633546
71 HAYNES ST
Manchester, CT 06040
(860) 647-6827
✔ PECOSSame address
Nurse Practitioner
NPI 1265818355
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1053503904
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1275592859
71 HAYNES ST MMH
Manchester, CT 06040
(860) 643-1166
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1578876801
71 HAYNES ST
Manchester, CT 06040
(860) 647-6831
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1225221732
71 HAYNES ST DEPARTMENT OF PSYCHIATRY
Manchester, CT 06040
(860) 647-6831
✔ PECOSSame address
Psychiatry
NPI 1801109665
71 HAYNES ST. MANCHESTER MEMORIAL HOSPITAL
Manchester, CT 06040
(860) 533-3434
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619584364
71 HAYNES ST
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891316113
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1770558181
71 HAYNES ST
Manchester, CT 06040
(860) 647-4778
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1750344123
71 HAYNES ST
Manchester, CT 06040
(860) 646-1222
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1386897122
71 HAYNES ST MANCHESTER MEMORIAL HOSPITAL
Manchester, CT 06040
(860) 533-3494
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1942350467
MANCHESTER MEMORIAL HOSPITAL 71 HAYNES ST
Manchester, CT 06042
(860) 533-3434
✔ PECOS✔ Accepts MedicareSame address
See all 93 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prospect Manchester Hospital, Inc.'s NPI number?

The NPI number for Prospect Manchester Hospital, Inc. is 1316394638. It was assigned to this organization in the NPPES registry on May 17, 2016. The provider is also known as Manchester Memorial Hospital.

Where is Prospect Manchester Hospital, Inc. located?

Prospect Manchester Hospital, Inc. is located at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Prospect Manchester Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Prospect Manchester Hospital, Inc. enrolled in Medicare?

Yes. Prospect Manchester Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prospect Manchester Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 93 clinicians in 6 Medicare specialties reassign their Medicare billing to Prospect Manchester Hospital, Inc.. A 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 the clinician's services. The largest specialties are Psychiatry (37), Emergency Medicine (19) and Clinical Social Worker (14). Of these, 20 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prospect Manchester Hospital, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Prospect Manchester Hospital, Inc. 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 Prospect Manchester Hospital, Inc. was last updated on December 30, 2020. 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.