DENIELLE M MCCARTHY APRN
NPI 1538726930
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
200 RETREAT AVE, HARTFORD HOSPITAL PSYCH DEPT, HARTFORD, CT 06106(860) 545-7064 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2019, May 22, 2019 (2 updates tracked since 2019).

About Denielle M Mccarthy Aprn NPPES

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

DENIELLE M MCCARTHY APRN (NPI 1538726930) is an individual psychiatric/mental health provider in Hartford, Connecticut, licensed in Connecticut (8397) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538726930
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDENIELLE M MCCARTHYCredential: APRN
Location Address200 RETREAT AVE, HARTFORD HOSPITAL PSYCH DEPTHartford, CT 06106-3309
Mailing Address200 Retreat Ave, Hartford Hospital Psych DeptHartford, CT 06106-3309 · (860) 545-7064
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 22, 2019
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1538726930 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 · 8397
200 RETREAT AVE, Hartford, CT 06106

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

Denielle M Mccarthy 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 ID3779915210
PECOS Enrollment IDI20191121000860
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 Denielle Mccarthy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 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 2

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.
107 services40 patients
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.
21 services16 patients

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.

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.70 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.99 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$185.99 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.

Nurse Practitioner (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Speech-Language Pathologist
200 RETREAT AVE
HARTFORD, CT 06106
Nurse Practitioner (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Marriage & Family Therapist
200 RETREAT AVE
HARTFORD, CT 06106
Clinical Neuropsychologist
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT
HARTFORD, CT 06106
Psychiatry & Neurology (Psychiatry)
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Social Worker
200 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
200 RETREAT AVE
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 Denielle Mccarthy's NPI number?

The NPI number for Denielle Mccarthy is 1538726930. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Denielle Mccarthy located?

Denielle Mccarthy practices at 200 Retreat Ave Hartford Hospital Psych Dept, Hartford, CT 06106. The listed phone number is (860) 545-7064.

What is Denielle Mccarthy's specialty?

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

Is Denielle Mccarthy enrolled in Medicare?

Yes. Denielle Mccarthy 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 Denielle Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denielle Mccarthy reassigns Medicare benefits to 3 organizations: Hartford Hospital (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, 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 Denielle Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denielle Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield list Denielle Mccarthy 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 Denielle Mccarthy was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.