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CAROL MICHELLE ODOM PMHNP-BC
NPI 1699358713
Nurse Practitioner - Psychiatric/Mental Health in Middletown, CT

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment
675 MAIN ST, MIDDLETOWN, CT 06457(860) 347-6971 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2021, May 5, 2021 (2 updates tracked since 2021).

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 and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699358713
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL MICHELLE ODOMCredential: PMHNP-BC
Location Address675 MAIN STMiddletown, CT 06457-2732
Mailing Address675 Main StMiddletown, CT 06457-2732 · (860) 347-6971
Phone(860) 347-6971
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 5, 2021
Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
✔ NPI 1699358713 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
Licenses✔ Licensed in CT · 9862✔ Licensed in NY · F403467
675 MAIN ST, Middletown, CT 06457
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2860890746
PECOS Enrollment IDI20240502001133
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.

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.

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 20

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

RACHEL MIRIAM BONAPARTE LCSW
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (203) 347-6971
LISBETH ANE GREIST LCSW, LPCA
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MATTHEW HUDDLESTON MD
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
DIANA MENDOZA
Student in an Organized Health Care Education/Training Program
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MEREDITH CAMPBELL APRN, FNP-C
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
LYNN M TAYLOR APRN
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
ALISON CARINI DO
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
JENNIFER ARAUJO BURNS APRN
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971

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.

When was this NPI record last updated?

The NPPES record for Carol Odom was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.