ABBY M THERIAQUE APRN
NPI 1457630295
Nurse Practitioner - Pediatrics in Hartford, CT
About Abby M Theriaque Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABBY M THERIAQUE APRN (NPI 1457630295) is an individual pediatrics provider in Hartford, Connecticut, licensed in Connecticut (004723) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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
Abby M Theriaque 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 Reassignment
Medicare enrollment records show Abby Theriaque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 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 06106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARTFORD, CT 06106
HARTFORD, CT 06106
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 Abby Theriaque's NPI number?
The NPI number for Abby Theriaque is 1457630295. It was assigned to this individual provider in the NPPES registry on August 10, 2011.
Where is Abby Theriaque located?
Abby Theriaque practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9520.
What is Abby Theriaque's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Abby Theriaque enrolled in Medicare?
Yes. Abby Theriaque 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 organization bills Medicare for Abby Theriaque's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abby Theriaque reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). 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 Abby Theriaque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abby Theriaque accept?
Health plans from Anthem Blue Cross and Blue Shield list Abby Theriaque 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 Abby Theriaque was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Abby M Theriaque, APRN · NPI 1457630295
Pediatrics physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since August 10, 2011.
## Identity
- **NPI:** 1457630295 (Entity type: Individual)
- **Enumerated:** August 10, 2011
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 004723 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 282 WASHINGTON ST, Hartford, CT 06106-3322
- **Phone:** (860) 545-9520
## 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:** Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** January 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457630295) · Data from the CMS NPPES public registry.