MRS. NICOLE PROUTY APRN
NPI 1629685938
Nurse Practitioner - Family in Hartford, CT
About Mrs. Nicole Prouty Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE PROUTY APRN (NPI 1629685938) is an individual family provider in Hartford, Connecticut, licensed in Connecticut (7958) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glastonbury, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 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
Mrs. Nicole Prouty 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 Reassignments
2Medicare enrollment records show Nicole Prouty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Glastonbury, CT 06033
- Reassigned Medicare billing, Connecticut enrollment
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.
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.
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 Nicole Prouty's NPI number?
The NPI number for Nicole Prouty is 1629685938. It was assigned to this individual provider in the NPPES registry on September 30, 2020.
Where is Nicole Prouty located?
Nicole Prouty practices at 80 Seymour St, Hartford, CT 06106. The listed phone number is (860) 545-2000.
What is Nicole Prouty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Prouty enrolled in Medicare?
Yes. Nicole Prouty 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 Nicole Prouty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Prouty reassigns Medicare benefits to 2 organizations: Hartford Hospital (Hartford, CT) and Ct Health Advocate LLC (Glastonbury, 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 Nicole Prouty'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 Nicole Prouty was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Mrs. Nicole Prouty, APRN · NPI 1629685938
Family physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since September 30, 2020.
## Identity
- **NPI:** 1629685938 (Entity type: Individual)
- **Enumerated:** September 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7958 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 80 SEYMOUR ST, Hartford, CT 06106-3315
- **Phone:** (860) 545-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Hospital (NPI 1407806391, Hartford, CT); Ct Health Advocate LLC (NPI 1780449033, Glastonbury, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629685938) · Data from the CMS NPPES public registry.