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KARLENE A HYLTON APRN
NPI 1376546168
Nurse Practitioner - Family in Wolcott, CT

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
464 WOLCOTT RD, GERICARE, LLC, WOLCOTT, CT 06716(203) 633-4560(203) 926-0594 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1376546168
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARLENE A HYLTONCredential: APRN
Location Address464 WOLCOTT RD, GERICARE, LLCWolcott, CT 06716-2626
Mailing Address28 Audubon LnShelton, CT 06484-4366 · (203) 992-1679
Phone(203) 633-4560
Fax(203) 926-0594
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 24, 2005
Last NPPES UpdateFebruary 17, 2014
✔ NPI 1376546168 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
License✔ Licensed in CT · 003137
464 WOLCOTT RD, Wolcott, CT 06716
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Other Identifiers 3

Medicare UPINQ37348CT
Medicare ID-Type Unspecified500001413CT
Medicaid004248284CT

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

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.

PECOS PAC ID446204903
PECOS Enrollment IDI20050308000450
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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
443 services165 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
112 services80 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
106 services61 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
80 services77 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
42 services41 patients

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.

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.

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.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
3 suppliers19 claims19 services$9.33 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers28 claims29 services$41.47 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier28 claims28 services$13.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.05 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
3 suppliers14 claims14 services$45.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims28 services$60.27 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 20

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

KRISTIN A. WOODS
Social Worker (Clinical)
464 WOLCOTT RD
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (203) 633-4560
MS. GAYLE GWOZDZ A.P.R.N.
Nurse Practitioner (Adult Health)
464 WOLCOTT RD
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (203) 623-4560
CATHY C LANOIE NP
Nurse Practitioner (Adult Health)
464 WOLCOTT RD
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (203) 633-4560
DR. MARC N RAAD M.D.
Internal Medicine
464 WOLCOTT RD
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (203) 879-8003
DENTAL HEALTH ASSOCIATES P.C.
Dentist (General Practice)
464 WOLCOTT RD, SUITE 2
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (203) 879-4649
GERICARE
Nurse Practitioner
464 WOLCOTT RD
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (203) 633-4560
UNIQUE APPROACH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
464 WOLCOTT RD, ATTN: JONATHAN BRENES
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (917) 509-0744
GERICARE PSYCH LLC
Psychologist (Prescribing (Medical))
464 WOLCOTT RD
WOLCOTT, CT 06716
Naugatuck Valley Planning Region (203) 633-4560

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.

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.