ELINA SCHWARTZ RD, PMHNP
NPI 1699987305
Nurse Practitioner - Psychiatric/Mental Health in Southington, CT

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
98 MAIN STREET, SUITE 300, SOUTHINGTON, CT 06489(860) 276-3970 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2021, May 4, 2021, Apr 28, 2021 (3 updates tracked since 2021).

About Elina Schwartz Rd, Pmhnp NPPES

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

ELINA SCHWARTZ RD, PMHNP (NPI 1699987305) is an individual psychiatric/mental health provider in Southington, Connecticut, licensed in Connecticut (9594) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699987305
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELINA SCHWARTZCredential: RD, PMHNP
Location Address98 MAIN STREET, SUITE 300Southington, CT 06489
Mailing Address44 Farmstead LnWest Hartford, CT 06117-2012 · (860) 570-0569
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 4, 2007
Last NPPES UpdateMay 10, 20213 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1699987305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 9594
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 750 (CT), 819916 (CT)
98 MAIN STREET, Southington, CT 06489

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

Elina Schwartz Rd, Pmhnp 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 ID8729489265
PECOS Enrollment IDI20210622002049
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 Reassignments

2

Medicare enrollment records show Elina Schwartz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
General Acute Care Hospital
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06489 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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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 Elina Schwartz's NPI number?

The NPI number for Elina Schwartz is 1699987305. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Elina Schwartz located?

Elina Schwartz practices at 98 Main Street Suite 300, Southington, CT 06489. The listed phone number is (860) 276-3970.

What is Elina Schwartz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Elina Schwartz enrolled in Medicare?

Yes. Elina Schwartz 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 Elina Schwartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elina Schwartz reassigns Medicare benefits to 2 organizations: Midstate Medical Center (Meriden, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, 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 Elina Schwartz'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 Elina Schwartz was last updated on May 10, 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.