MRS. MIRLENE POLYCARPE FNP, DNP
NPI 1821667452
Nurse Practitioner - Family in Middletown, CT
About Mrs. Mirlene Polycarpe Fnp, Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MIRLENE POLYCARPE FNP, DNP (NPI 1821667452) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (9761) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeport, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Mrs. Mirlene Polycarpe Fnp, Dnp 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 Reassignments
2Medicare enrollment records show Mirlene Polycarpe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06457 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 Mirlene Polycarpe's NPI number?
The NPI number for Mirlene Polycarpe is 1821667452. It was assigned to this individual provider in the NPPES registry on June 18, 2021.
Where is Mirlene Polycarpe located?
Mirlene Polycarpe practices at 50 Eastbury Hill Dr, Middletown, CT 06457. The listed phone number is (860) 834-0479.
What is Mirlene Polycarpe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mirlene Polycarpe enrolled in Medicare?
Yes. Mirlene Polycarpe 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 organizations bill Medicare for Mirlene Polycarpe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mirlene Polycarpe reassigns Medicare benefits to 2 organizations: Hartford Hospital (Hartford, CT) and William W Backus Hospital (Norwich, CT). Each 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 Mirlene Polycarpe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mirlene Polycarpe accept?
Health plans from Anthem Blue Cross and Blue Shield list Mirlene Polycarpe 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 Mirlene Polycarpe was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Mirlene Polycarpe, FNP, DNP · NPI 1821667452
Family physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since June 18, 2021.
## Identity
- **NPI:** 1821667452 (Entity type: Individual)
- **Enumerated:** June 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9761 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 EASTBURY HILL DR, Middletown, CT 06457-8755
- **Phone:** (860) 834-0479
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Hospital (NPI 1407806391, Hartford, CT); William W Backus Hospital (NPI 1730243536, Norwich, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1821667452) · Data from the CMS NPPES public registry.