CAROL MICHELLE ODOM PMHNP-BC
NPI 1699358713
Nurse Practitioner - Psychiatric/Mental Health in Middletown, CT
About Carol Michelle Odom Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL MICHELLE ODOM PMHNP-BC (NPI 1699358713) is an individual psychiatric/mental health provider in Middletown, Connecticut, licensed in Connecticut (9862) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Carol Michelle Odom Pmhnp-bc 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 Carol Odom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 390 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 06457 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.
MIDDLETOWN, CT 06457
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 Carol Odom's NPI number?
The NPI number for Carol Odom is 1699358713. It was assigned to this individual provider in the NPPES registry on May 5, 2021.
Where is Carol Odom located?
Carol Odom practices at 675 Main St, Middletown, CT 06457. The listed phone number is (860) 347-6971.
What is Carol Odom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Carol Odom enrolled in Medicare?
Yes. Carol Odom 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 Carol Odom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Odom reassigns Medicare benefits to Community Health Center Inc (Middletown, 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 Carol Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Odom accept?
Health plans from Anthem Blue Cross and Blue Shield list Carol Odom 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 Carol Odom was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Carol Michelle Odom, PMHNP-BC · NPI 1699358713
Psychiatric/Mental Health physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since May 5, 2021.
## Identity
- **NPI:** 1699358713 (Entity type: Individual)
- **Enumerated:** May 5, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 9862 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 675 MAIN ST, Middletown, CT 06457-2732
- **Phone:** (860) 347-6971
## 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:** Community Health Center Inc (NPI 1952591851, Middletown, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699358713) · Data from the CMS NPPES public registry.