CAROL SPECTER
NPI 1417325069
Nurse Practitioner - Psychiatric/Mental Health in Newington, CT

Active since September 11, 2015PECOS Enrolled
555 WILLARD AVE, NEWINGTON, CT 06111(860) 594-6328 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol Specter NPPES

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

CAROL SPECTER (NPI 1417325069) is an individual psychiatric/mental health provider in Newington, Connecticut, licensed in Connecticut (6236) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417325069
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL SPECTER
Location Address555 WILLARD AVENewington, CT 06111-2631
Mailing Address555 Williard AveNewington, CT 06111 · (860) 594-6328
Sole ProprietorNo
Enumeration DateSeptember 11, 2015
Last NPPES UpdateMay 10, 2017
✔ NPI 1417325069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 6236
555 WILLARD AVE, Newington, CT 06111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Specter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Carol Specter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
5455 ALMIRA DR NE
Bremerton, WA 98311
  • Reassigned Medicare billing, Washington enrollment
  • 31 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06111 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.

Social Worker (Clinical)
555 WILLARD AVE
NEWINGTON, CT 06111
Physical Therapist
555 WILLARD AVE
NEWINGTON, CT 06111
Nurse Practitioner (Primary Care)
555 WILLARD AVE
NEWINGTON, CT 06111
General Acute Care Hospital
555 WILLARD AVE, 2C-1147
NEWINGTON, CT 06111
Internal Medicine
555 WILLARD AVE
NEWINGTON, CT 06111
Family Medicine
555 WILLARD AVE
NEWINGTON, CT 06111
Optometrist
555 WILLARD AVE
NEWINGTON, CT 06111
Occupational Therapy Assistant
555 WILLARD AVE
NEWINGTON, CT 06111

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 Carol Specter's NPI number?

The NPI number for Carol Specter is 1417325069. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Carol Specter located?

Carol Specter practices at 555 Willard Ave, Newington, CT 06111. The listed phone number is (860) 594-6328.

What is Carol Specter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carol Specter enrolled in Medicare?

Yes. Carol Specter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Specter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Specter reassigns Medicare benefits to Kitsap Mental Health Services (Bremerton, WA). The 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 Carol Specter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Specter accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Carol Specter 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 Carol Specter was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.