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MICHELLE ANNE VAN NAME
NPI 1811163363
Pediatrics - Pediatric Endocrinology in New Haven, CT

Active since May 05, 2008PECOS Enrolled
1 LONG WHARF DR, SUITE 503, NEW HAVEN, CT 06511(203) 785-5809 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Anne Van Name NPPES

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

MICHELLE ANNE VAN NAME (NPI 1811163363) is an individual pediatric endocrinology provider in New Haven, Connecticut, licensed in Connecticut (50005) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811163363
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameMICHELLE ANNE VAN NAME
Location Address1 LONG WHARF DR, SUITE 503New Haven, CT 06511-5991
Mailing Address1 Long Wharf Dr, Suite 503New Haven, CT 06511-5991 · (203) 785-5809
Phone(203) 785-5809
Sole ProprietorYes
Enumeration DateMay 5, 2008
Last NPPES UpdateJune 22, 2015
✔ NPI 1811163363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in CT · 50005
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
1 LONG WHARF DR, New Haven, CT 06511
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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 (PECOS)

Michelle Anne Van Name is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06511 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
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.

DR. NEEMA DAD DDS
Student in an Organized Health Care Education/Training Program
1 LONG WHARF DR, YNHH PEDIATRIC DENTISTRY, STE 403
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-3000
ASHLEY ANTONUCCI DNP- FNP
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-8800
JEANETTE M TETRAULT MD
Internal Medicine
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
HEIDI CLARKE LPN
Licensed Practical Nurse
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
DR. LAUREL EDWARDS PSY.D.
Psychologist
1 LONG WHARF DR, SUITE 7
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5775
MRS. JOANNA SAMOSKEVICH
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-7689
DONNA LAPAGLIA PSY.D.
Psychologist (Clinical)
1 LONG WHARF DR, SATU
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5734
JENNIFER LOYA PHD
Psychologist
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5726

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 Michelle Van Name's NPI number?

The NPI number for Michelle Van Name is 1811163363. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Michelle Van Name located?

Michelle Van Name practices at 1 Long Wharf Dr Suite 503, New Haven, CT 06511. The listed phone number is (203) 785-5809.

What is Michelle Van Name's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Michelle Van Name enrolled in Medicare?

Yes. Michelle Van Name is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Van Name was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.