MRS. MIRLENE POLYCARPE FNP, DNP
NPI 1821667452
Nurse Practitioner - Family in Middletown, CT

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
50 EASTBURY HILL DR, MIDDLETOWN, CT 06457(860) 834-0479 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2021, Jun 18, 2021 (2 updates tracked since 2021).

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

NPI1821667452
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MIRLENE POLYCARPECredential: FNP, DNP
Location Address50 EASTBURY HILL DRMiddletown, CT 06457-8755
Mailing Address85 Retreat Avenue, Hhcmg/cancer Center/hartford HospitalHartford, CT 06106-2555 · (860) 972-4183 · Fax (860) 972-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2021
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1821667452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 9761
50 EASTBURY HILL DR, Middletown, CT 06457

Secondary Practice Location 1

Location 14000 Park AveBridgeport, CT 06604-1047 · Phone (203) 371-7999

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

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.

PECOS PAC ID5294192852
PECOS Enrollment IDI20230613002052
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
153 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services24 patients

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.

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 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.

When was this NPI record last updated?

The NPPES record for Mirlene Polycarpe was last updated on October 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.