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KATHLEEN A ENNIS APRN, DNPC
NPI 1750417358
Nurse Practitioner - Family in Cos Cob, CT

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
30 ORCHARD ST, COS COB, CT 06807(203) 253-2225(203) 869-4421 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1750417358
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN A ENNISCredential: APRN, DNPC
Location Address30 ORCHARD STCos Cob, CT 06807-2403
Mailing Address30 Orchard StCos Cob, CT 06807-2403 · (203) 253-2225 · Fax (203) 869-4421
Phone(203) 253-2225
Fax(203) 869-4421
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 26, 2007
Last NPPES UpdateSeptember 19, 2011
✔ NPI 1750417358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 001317
30 ORCHARD ST, Cos Cob, CT 06807
Open in Google Maps ↗

Other Identifiers 2

Medicare PIND300042375
Medicaid500000270CT

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

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.

PECOS PAC ID6103906516
PECOS Enrollment IDI20080110000159
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 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.

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.

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.

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 14 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.