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AMY KOLACZENKO APRN
NPI 1699320937
Nurse Practitioner in West Hartford, CT

Active since August 05, 2019PECOS Enrolled
631 S QUAKER LN, WEST HARTFORD, CT 06110(860) 233-5133 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy Kolaczenko Aprn NPPES

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

AMY KOLACZENKO APRN (NPI 1699320937) is an individual nurse practitioner in West Hartford, Connecticut, licensed in Connecticut (8368) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699320937
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY KOLACZENKOCredential: APRN
Location Address631 S QUAKER LNWest Hartford, CT 06110-1026
Mailing Address7 Minnie LnWethersfield, CT 06109-3997 · (860) 463-6412
Phone(860) 233-5133
Sole ProprietorNo
Enumeration DateAugust 5, 2019
✔ NPI 1699320937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 8368
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
631 S QUAKER LN, West Hartford, CT 06110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Kolaczenko Aprn 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 Amy Kolaczenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Physicians PC
3.7 mi
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1720194053 (860) 284-5200

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 06110 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA MOLNAR
Physician Assistant
631 S QUAKER LN
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 233-5133
BARBARA WADZANAYI HAMA NP
Nurse Practitioner
631 S QUAKER LN
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 233-5133
DR. JARED DIAMOND WASSER M.D., M.P.H.
Internal Medicine
631 S QUAKER LN
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 233-5133
DEREK NGUYEN MD
Family Medicine
631 S QUAKER LN
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 233-5133
CATHRYN MORGAN PT
Physical Therapist
631 S QUAKER LN
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 231-6116
LAURA CUEVAS
Physical Therapist
631 S QUAKER LN
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 233-5133
YEVGENIY BORSHCHENKO M.D.
Internal Medicine
631 S QUAKER LN
WEST HARTFORD, CT 06110
Capitol Planning Region (860) 233-5133

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 Amy Kolaczenko's NPI number?

The NPI number for Amy Kolaczenko is 1699320937. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Amy Kolaczenko located?

Amy Kolaczenko practices at 631 S Quaker Ln, West Hartford, CT 06110. The listed phone number is (860) 233-5133.

What is Amy Kolaczenko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Kolaczenko enrolled in Medicare?

Yes. Amy Kolaczenko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Kolaczenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Kolaczenko reassigns Medicare benefits to Prohealth Physicians PC (Farmington, 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 Amy Kolaczenko'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 Amy Kolaczenko was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.