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

Q: 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.

Q: What is Michelle Van Name's specialty?

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

Q: 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.

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: November 01, 2026.

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Van Name reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University

0.7 mi

Advanced Practice Midwife

100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519

Reassigned Medicare billing, Connecticut enrollment
3,728 clinicians in this Medicare group

NPI 1124148887 (203) 737-5432

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 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

STUART M BAKER LADC

Counselor (Addiction (Substance Use Disorder))

1 LONG WHARF DR, STE 10
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

OBINNA ANOSIKE

Family Medicine

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4444

MS. ARLIAN SMITH PA-C

Physician Assistant (Medical)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 688-8800

CHRISTINA HENDERSON LPN

Licensed Practical Nurse

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

PEDIATRIC & MEDICAL ASSOCIATES, P.C.

Pediatrics

1 LONG WHARF DR, SUITE 105
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 865-3737

MS. JACQUELINE M MURPHY R.PH.

Pharmacist

1 LONG WHARF DR, HANCOCK PHARMACY AT LONG WHARF
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 787-9908

DR. BARRY A ROTHMAN DDS

Dentist (General Practice)

1 LONG WHARF DR, SUITE 221
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4288

DR. ANNA ELISABETH DENOBLE MD, MSC

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (413) 686-0994

DR. MYER B SHIMELMAN MD

Psychiatry & Neurology (Psychiatry)

1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 624-5522

BEVERLY BRAZZELL LPN

Licensed Practical Nurse

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

KENNETH MORFORD M.D.

Internal Medicine

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

HEATHER M KNOX LPC

Counselor (Professional)

1 LONG WHARF DR
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 781-4600

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.

Which organization bills Medicare for Michelle Van Name's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Van Name reassigns Medicare benefits to Yale University (New Haven, 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 Michelle Van Name's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Van Name accept?

Health plans from Anthem Blue Cross and Blue Shield list Michelle Van Name 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 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.