DOMENICK BIANCHI APRN
NPI 1407318637
Nurse Practitioner - Acute Care in Stafford Springs, CT

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076(413) 455-6638 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Domenick Bianchi Aprn NPPES

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

DOMENICK BIANCHI APRN (NPI 1407318637) is an individual acute care provider in Stafford Springs, Connecticut, licensed in Connecticut (8139) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407318637
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDOMENICK BIANCHICredential: APRN
Location Address201 CHESTNUT HILL RDStafford Springs, CT 06076-4005
Mailing Address103 Stafford StStafford Springs, CT 06076-4336 · (413) 455-6638
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2019
✔ NPI 1407318637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CT · 8139
201 CHESTNUT HILL RD, Stafford Springs, CT 06076

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

Domenick Bianchi 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 ID9830425461
PECOS Enrollment IDI20190719001234
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Domenick Bianchi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
7 MAGAURAN DR STE 3
Stafford Springs, CT 06076
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 clinicians in this Medicare group
Cardiovascular Disease
15 PALOMBA DRIVE, SUITE 11
Enfield, CT 06082
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Jeffrey P Thompsen MD LLC
  • 5 clinicians in this Medicare group
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 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 7

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.
148 services69 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.
95 services43 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.
86 services48 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.
75 services42 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06076 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.

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.

Psychiatric Unit
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Social Worker (Clinical)
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Anesthesiology
201 CHESTNUT HILL RD, DEPARTMENT OF ANESTHESIA
STAFFORD SPRINGS, CT 06076
Anesthesiology
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Hospitalist
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Anesthesiology
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076
Pathology (Anatomic Pathology & Clinical Pathology)
201 CHESTNUT HILL RD, JOHNSON MEMORIAL HOSPITAL
STAFFORD SPRINGS, CT 06076
Emergency Medicine
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076

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 Domenick Bianchi's NPI number?

The NPI number for Domenick Bianchi is 1407318637. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Domenick Bianchi located?

Domenick Bianchi practices at 201 Chestnut Hill Rd, Stafford Springs, CT 06076. The listed phone number is (413) 455-6638.

What is Domenick Bianchi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Domenick Bianchi enrolled in Medicare?

Yes. Domenick Bianchi 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 Domenick Bianchi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Domenick Bianchi reassigns Medicare benefits to 3 organizations: Preferred Healthcare Associates Inc (Stafford Springs, CT), Jeffrey P. Thompsen, M.D., LLC (Enfield, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). 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 Domenick Bianchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Domenick Bianchi accept?

Health plans from Anthem Blue Cross and Blue Shield list Domenick Bianchi 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 Domenick Bianchi was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.