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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARY ELIZABETH APRN
NPI 1962817908
Nurse Practitioner - Acute Care in Hartford, CT

Active since June 28, 2014PECOS Enrolled
80 SEYMOUR ST, HARTFORD HOSPITAL NEUROLOGY DEPT, HARTFORD, CT 06102(860) 972-3621 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2026, Oct 11, 2018 (2 updates tracked since 2018).

About Ms. Mary Elizabeth Aprn NPPES

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

MS. MARY ELIZABETH APRN (NPI 1962817908) is an individual acute care provider in Hartford, Connecticut, licensed in Connecticut (005769) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962817908
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. MARY ELIZABETHCredential: APRN
Location Address80 SEYMOUR ST, HARTFORD HOSPITAL NEUROLOGY DEPTHartford, CT 06102-5037
Mailing Address158 Sulliven Ave, Suite 6South Windsor, CT 06074 · (959) 900-1100
Phone(860) 972-3621
Sole ProprietorNo
Enumeration DateJune 28, 2014
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
✔ NPI 1962817908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CT · 005769
Also ListedNurse PractitionerTaxonomy 363L00000X · License 005769 (CT)
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License 005769 (CT)
80 SEYMOUR ST, Hartford, CT 06102
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Elizabeth Bycholski

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Elizabeth Aprn 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 Reassignments

3

Medicare enrollment records show Mary Elizabeth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Starling Physicians, PLLC
4.7 mi
Internal Medicine
1210 SILAS DEANE HWY
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1306779905 (860) 832-4666
Prospect Manchester Hospital, Inc.
8.1 mi
General Acute Care Hospital
71 HAYNES ST
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 94 clinicians in this Medicare group
NPI 1316394638 (860) 646-1222
Prospect Rockville Hospital, Inc.
14 mi
General Acute Care Hospital
31 UNION ST
Vernon, CT 06066
  • Reassigned Medicare billing, Connecticut enrollment
  • 96 clinicians in this Medicare group
NPI 1205283538 (860) 646-1222

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 06102 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
22%91 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Mary Elizabeth's NPI number?

The NPI number for Mary Elizabeth is 1962817908. It was assigned to this individual provider in the NPPES registry on June 28, 2014. The provider is also known as Mary Elizabeth Bycholski.

Where is Mary Elizabeth located?

Mary Elizabeth practices at 80 Seymour St Hartford Hospital Neurology Dept, Hartford, CT 06102. The listed phone number is (860) 972-3621.

What is Mary Elizabeth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Elizabeth enrolled in Medicare?

Yes. Mary Elizabeth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Elizabeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Elizabeth reassigns Medicare benefits to 3 organizations: Starling Physicians, PLLC (Wethersfield, CT), Prospect Manchester Hospital, Inc. (Manchester, CT) and Prospect Rockville Hospital, Inc. (Vernon, 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 Mary Elizabeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Elizabeth was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.