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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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 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)

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kerisha Prince reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Bridge Family Center, Inc
Same address
Adolescent and Children Mental Health
1022 FARMINGTON AVE
West Hartford, CT 06107
  • Reassigned Medicare billing, Connecticut enrollment
  • 10 clinicians in this Medicare group
NPI 1689887440 (860) 521-8035
Community Health Resources, Inc.
8.3 mi
Mental Health (Including Community Mental Health Center)
2 WATERSIDE XING STE 401
Windsor, CT 06095
  • Reassigned Medicare billing, Connecticut enrollment
  • 227 clinicians in this Medicare group
NPI 1215979810 (860) 731-5522
Cognivia Care LLC
12 mi
Psychiatric/Mental Health
903 MAIN ST
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1053105411 (860) 854-4733
Impact Health Psych PC
37 mi
Psychiatric/Mental Health
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • 46 clinicians in this Medicare group
NPI 1730781022 (203) 497-3861
Mind Results LLC
97 mi
Psychiatry
1415 VERMELLA WAY
Lyndhurst, NJ 07071
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1215884077 (551) 257-1746

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 2

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 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.

THE BRIDGE FAMILY CENTER
Community/Behavioral Health
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 561-9635
CHRISTOPHER J DUTTON LCSW
Social Worker (Clinical)
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 712-2328
THE BRIDGE FAMILY CENTER, OUTPATIENT PSYCHIATRIC CLINIC FOR CHILDREN
Clinic/Center (Adolescent and Children Mental Health)
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-8035
RACHEL CABANIOL LMFT
Marriage & Family Therapist
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-8035
SUZANNE SUTCH LPC
Counselor (Professional)
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 313-1119
MS. JOANN S TAFT LPC
Counselor (Professional)
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-8035
MS. KIMBERLY W KELLY LCSW
Social Worker (Clinical)
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-8035
MARISSA MURPHY LCSW
Social Worker (Clinical)
1022 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-8035

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 Kerisha Prince's NPI number?

The NPI number for Kerisha Prince is 1861107591. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Kerisha Prince located?

Kerisha Prince practices at 1022 Farmington Ave, West Hartford, CT 06107. The listed phone number is (860) 521-8035.

What is Kerisha Prince's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kerisha Prince enrolled in Medicare?

Yes. Kerisha Prince is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kerisha Prince's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerisha Prince reassigns Medicare benefits to 5 organizations: The Bridge Family Center, Inc (West Hartford, CT), Community Health Resources, Inc. (Windsor, CT), Cognivia Care LLC (Manchester, CT), Impact Health Psych PC (Orange, CT) and Mind Results LLC (Lyndhurst, NJ). 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 Kerisha Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerisha Prince accept?

Health plans from Anthem Blue Cross and Blue Shield list Kerisha Prince 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 Kerisha Prince was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.