KARLENE A HYLTON APRN
NPI 1376546168
Nurse Practitioner - Family in Wolcott, CT
About Karlene A Hylton Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARLENE A HYLTON APRN (NPI 1376546168) is an individual family provider in Wolcott, Connecticut, licensed in Connecticut (003137) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Karlene A Hylton 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 Reassignments
5Medicare enrollment records show Karlene Hylton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stamford, CT 06902
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Careconnectmd Connecticut P.C.
- 168 clinicians in this Medicare group
Springfield, MA 01151
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Ipc Hospitalists Of New England PC
- 88 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 142 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 149 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, Connecticut enrollment
- 135 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WOLCOTT, CT 06716
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 Karlene Hylton's NPI number?
The NPI number for Karlene Hylton is 1376546168. It was assigned to this individual provider in the NPPES registry on May 24, 2005.
Where is Karlene Hylton located?
Karlene Hylton practices at 464 Wolcott Rd Gericare, LLC, Wolcott, CT 06716. The listed phone number is (203) 633-4560.
What is Karlene Hylton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karlene Hylton enrolled in Medicare?
Yes. Karlene Hylton 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 organizations bill Medicare for Karlene Hylton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karlene Hylton reassigns Medicare benefits to 5 organizations: Careconnectmd Connecticut PC (Stamford, CT), Ipc Hospitalists Of New England, P.C. (Springfield, MA), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA) and Healthdrive Medical Services Southeast LLC (Columbia, MD). Each 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 Karlene Hylton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karlene Hylton accept?
Health plans from Anthem Blue Cross and Blue Shield list Karlene Hylton 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 Karlene Hylton was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Karlene A Hylton, APRN · NPI 1376546168
Family physician in Wolcott, Connecticut. Individual provider, active in the CMS NPPES registry since May 24, 2005.
## Identity
- **NPI:** 1376546168 (Entity type: Individual)
- **Enumerated:** May 24, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 003137 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 464 WOLCOTT RD, GERICARE, LLC, Wolcott, CT 06716-2626
- **Phone:** (203) 633-4560 · **Fax:** (203) 926-0594
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Careconnectmd Connecticut PC (NPI 1467187336, Stamford, CT); Ipc Hospitalists Of New England, P.C. (NPI 1659555266, Springfield, MA); Value Based Long Term Care H PC (NPI 1134951676, Framingham, MA); Hdc Care Solutions, LLC (NPI 1033861349, Framingham, MA); Healthdrive Medical Services Southeast LLC (NPI 1437930146, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 17, 2014
- **Other identifiers:** Medicare UPIN Q37348 (CT); Medicare ID-Type Unspecified 500001413 (CT); Medicaid 004248284 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1376546168) · Data from the CMS NPPES public registry.