KERISHA S PRINCE
NPI 1861107591
Nurse Practitioner - Psychiatric/Mental Health in West Hartford, CT

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since January 17, 2023PECOS Enrolled

1022 FARMINGTON AVE, WEST HARTFORD, CT 06107(860) 521-8035(860) 521-8036 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2024, Jan 26, 2023, Jan 17, 2023 (3 updates tracked since 2023).

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About Kerisha S Prince NPPES

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

KERISHA S PRINCE (NPI 1861107591) is an individual psychiatric/mental health provider in West Hartford, Connecticut, licensed in Connecticut (011413) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stamford, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861107591

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKERISHA S PRINCE

Location Address1022 FARMINGTON AVEWest Hartford, CT 06107-2105

Mailing Address92 Cheney LnEast Hartford, CT 06118-3005 · (718) 501-9840

Phone(860) 521-8035

Fax(860) 521-8036

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 17, 2023

Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1861107591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CT · 011413

Also ListedRegistered NurseTaxonomy 163W00000X · License 153956 (CT)

1022 FARMINGTON AVE, West Hartford, CT 06107

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Secondary Practice Location 1

Location 168 Southfield Ave Ste 100Stamford, CT 06902-7223 · Phone (800) 465-3203

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerisha S Prince is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496127516

PECOS Enrollment IDI20230217001040

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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

64 services44 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.

44 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06107 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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA MURPHY LCSW

Social Worker (Clinical)