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ELLEN ORMOND ZUMMO APRN
NPI 1336741719
Nurse Practitioner in Hamden, CT

Active since November 11, 2020PECOS EnrolledAccepts Medicare Assignment
94.17/100
CMS Quality Rating
1 EVERGREEN AVE, HAMDEN, CT 06518(203) 376-0220 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Apr 16, 2024, May 30, 2023 and 2 more (5 updates tracked since 2020).

About Ellen Ormond Zummo Aprn NPPES

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

ELLEN ORMOND ZUMMO APRN (NPI 1336741719) is an individual nurse practitioner in Hamden, Connecticut, licensed in Connecticut (9327) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336741719
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELLEN ORMOND ZUMMOCredential: APRN
Location Address1 EVERGREEN AVEHamden, CT 06518-2717
Mailing Address1 Evergreen AveHamden, CT 06518-2717 · (203) 376-0220 · Fax (203) 651-1698
Phone(203) 376-0220
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 11, 2020
Last NPPES UpdateMay 7, 20245 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1336741719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 9327
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 9327 (CT)
1 EVERGREEN AVE, Hamden, CT 06518
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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

Ellen Ormond Zummo 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.

PECOS PAC ID4284048828
PECOS Enrollment IDI20210122001080
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 3

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 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.
66 services35 patients
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.
65 services49 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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.

94.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.94
Promoting Interoperability99.39
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$14.48 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers14 claims27 services$14.72 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$196.58 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$12.83 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers19 claims19 services$26.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. DEBRA ANNE STOPPER I R.D., CD-N
Dietitian, Registered
1 EVERGREEN AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 248-8047
CRYSTAL LACHEA JOHNSON MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 EVERGREEN AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 463-4555
RUTH MONTGOMERY LCSW
Social Worker (Clinical)
1 EVERGREEN AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 936-8861
ASIA GONZALEZ LPC
Counselor (Mental Health)
1 EVERGREEN AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 530-3378

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 Ellen Ormond Zummo's NPI number?

The NPI number for Ellen Ormond Zummo is 1336741719. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Ellen Ormond Zummo located?

Ellen Ormond Zummo practices at 1 Evergreen Ave, Hamden, CT 06518. The listed phone number is (203) 376-0220.

What is Ellen Ormond Zummo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ellen Ormond Zummo enrolled in Medicare?

Yes. Ellen Ormond Zummo 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 Ellen Ormond Zummo was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.