DANIELLE PROVONCHA CRNA
NPI 1619373248
Nurse Anesthetist, Certified Registered in New London, CT
About Danielle Provoncha Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE PROVONCHA CRNA (NPI 1619373248) is an individual nurse anesthetist, certified registered in New London, Connecticut, licensed in Connecticut (6012) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwich, and is a graduate of Yale University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Danielle Provoncha Crna 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 Reassignments
5Medicare enrollment records show Danielle Provoncha reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 91 clinicians in this Medicare group
Guilford, CT 06437
- Reassigned Medicare billing, Connecticut enrollment
- 19 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 417 clinicians in this Medicare group
West Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 86 clinicians in this Medicare group
Shelton, CT 06484
- Reassigned Medicare billing, Connecticut enrollment
- 727 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEW LONDON, CT 06320
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 Danielle Provoncha's NPI number?
The NPI number for Danielle Provoncha is 1619373248. It was assigned to this individual provider in the NPPES registry on November 10, 2014.
Where is Danielle Provoncha located?
Danielle Provoncha practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.
What is Danielle Provoncha's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Danielle Provoncha enrolled in Medicare?
Yes. Danielle Provoncha 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 Danielle Provoncha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Provoncha reassigns Medicare benefits to 5 organizations: Anesthesia Associates Of Willimantic PC (Willimantic, CT), New England Anesthesia Associates, LLC (Guilford, CT), Connecticut Gi PLLC (Hartford, CT), Charter Anesthesiology LLC (West Hartford, CT) and Integrated Anesthesia Associates LLC (Shelton, 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 Danielle Provoncha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Danielle Provoncha was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Danielle Provoncha, CRNA · NPI 1619373248
Nurse Anesthetist, Certified Registered physician in New London, Connecticut. Individual provider, active in the CMS NPPES registry since November 10, 2014.
## Identity
- **NPI:** 1619373248 (Entity type: Individual)
- **Enumerated:** November 10, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 6012 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 365 MONTAUK AVE, New London, CT 06320-4700
- **Phone:** (860) 442-0711 · **Fax:** (781) 407-0998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of Willimantic PC (NPI 1306905799, Willimantic, CT); New England Anesthesia Associates, LLC (NPI 1891388146, Guilford, CT); Connecticut Gi PLLC (NPI 1023124625, Hartford, CT); Charter Anesthesiology LLC (NPI 1730674532, West Hartford, CT); Integrated Anesthesia Associates LLC (NPI 1881636397, Shelton, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** October 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619373248) · Data from the CMS NPPES public registry.