CONNECTICUT RENAISSANCE, INC.
NPI 1720130362
Clinic/Center - Rehabilitation, Substance Use Disorder in Bridgeport, CT
About Connecticut Renaissance, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNECTICUT RENAISSANCE, INC. (NPI 1720130362) is a healthcare organization registered as a rehabilitation, substance use disorder in Bridgeport, Connecticut and active in the NPI registry since January 2007. The organization lists Dawn E Patston, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connecticut Renaissance, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Connecticut Renaissance, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Connecticut Renaissance, Inc.'s NPI number?
The NPI number for Connecticut Renaissance, Inc. is 1720130362. It was assigned to this organization in the NPPES registry on January 16, 2007.
Where is Connecticut Renaissance, Inc. located?
Connecticut Renaissance, Inc. is located at 1126 Main St, Bridgeport, CT 06604. The listed phone number is (203) 368-9755.
What is Connecticut Renaissance, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Connecticut Renaissance, Inc. enrolled in Medicare?
Yes. Connecticut Renaissance, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Connecticut Renaissance, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Connecticut Renaissance, Inc.. A 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 the clinician's services. The largest specialties are Clinical Social Worker (3), Nurse Practitioner (2) and Marriage and Family Therapist (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Connecticut Renaissance, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Connecticut Renaissance, Inc. 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 Connecticut Renaissance, Inc. was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Connecticut Renaissance, Inc. · NPI 1720130362
Rehabilitation, Substance Use Disorder organization in Bridgeport, Connecticut. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1720130362 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Dawn Patston, COO
## Practice location
- **Address:** 1126 MAIN ST, Bridgeport, CT 06604-4404
- **Phone:** (203) 368-9755 · **Fax:** (203) 368-9760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Nurse Practitioner (2), Marriage and Family Therapist (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
- **Other identifiers:** Medicaid 008002559 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1720130362) · Data from the CMS NPPES public registry.