KATHLEEN A ENNIS APRN, DNPC
NPI 1750417358
Nurse Practitioner - Family in Cos Cob, CT
About Kathleen A Ennis Aprn, Dnpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN A ENNIS APRN, DNPC (NPI 1750417358) is an individual family provider in Cos Cob, Connecticut, licensed in Connecticut (001317) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kathleen A Ennis Aprn, Dnpc 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 Kathleen Ennis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stamford, CT 06901
- Reassigned Medicare billing, Connecticut enrollment
- 22 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 06807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kathleen Ennis's NPI number?
The NPI number for Kathleen Ennis is 1750417358. It was assigned to this individual provider in the NPPES registry on February 26, 2007.
Where is Kathleen Ennis located?
Kathleen Ennis practices at 30 Orchard St, Cos Cob, CT 06807. The listed phone number is (203) 253-2225.
What is Kathleen Ennis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Ennis enrolled in Medicare?
Yes. Kathleen Ennis 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 Kathleen Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Ennis reassigns Medicare benefits to Liberation Programs Inc (Stamford, 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 Kathleen Ennis'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 Kathleen Ennis was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kathleen A Ennis, APRN, DNPC · NPI 1750417358
Family physician in Cos Cob, Connecticut. Individual provider, active in the CMS NPPES registry since February 26, 2007.
## Identity
- **NPI:** 1750417358 (Entity type: Individual)
- **Enumerated:** February 26, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 001317 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 ORCHARD ST, Cos Cob, CT 06807-2403
- **Phone:** (203) 253-2225 · **Fax:** (203) 869-4421
## 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:** Liberation Programs Inc (NPI 1649390733, Stamford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** September 19, 2011
- **Other identifiers:** Medicare PIN D300042375; Medicaid 500000270 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1750417358) · Data from the CMS NPPES public registry.