Kerisha S Prince, - Medicare Nurse Practitioner in West Hartford, CT

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Kerisha S Prince, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Hartford, Connecticut. Her current practice location is 1022 Farmington Ave, West Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 521-8035.

Kerisha S Prince is licensed to practice in Connecticut (license number 011413) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861107591.

Contact Information

Kerisha S Prince,
1022 Farmington Ave,
West Hartford, CT 06107-2105
(860) 521-8035
(860) 521-8036

Map and Direction




Provider's Profile

Full NameKerisha S Prince
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1022 Farmington Ave, West Hartford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861107591
  • Provider Enumeration Date: 01/17/2023
  • Last Update Date: 07/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496127516
  • Enrollment ID: I20230217001040

Medical Identifiers

Medical identifiers for Kerisha S Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861107591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 153956 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 011413 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kerisha S Prince allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Resources, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155
Entity NameImpact Health Psych Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730781022
PECOS PAC ID: 6204248149
Enrollment ID: O20201217000105
Entity NameCognivia Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053105411
PECOS PAC ID: 9830608900
Enrollment ID: O20250530002792

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerisha S Prince is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kerisha S Prince,
92 Cheney Ln,
East Hartford, CT 06118-3005

Ph: (718) 501-9840		Kerisha S Prince,
1022 Farmington Ave,
West Hartford, CT 06107-2105

Ph: (860) 521-8035

Reviews and Comments


Nurse Practitioner Nurses in West Hartford, CT

Erin Hannan, NP
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Phone: 860-231-8345    Fax: 860-523-4061
Marina Creed, APRN, FNP-BC
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Practice Location: 87 Outlook Ave, West Hartford, CT 06119
Phone: 860-888-6032    Fax: 860-888-6032
Ms. Keira S Ledoux, CPNP
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Practice Location: 345 N Main St Ste 248, West Hartford, CT 06117
Phone: 860-231-8345    
Ms. Jessica L Haggett, APRN
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Medicare: Medicare Enrolled
Practice Location: 1001 Farmington Ave, West Hartford, CT 06107
Phone: 860-213-8365    
Mrs. Stephanie Lajeunesse, FNP
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Medicare: Medicare Enrolled
Practice Location: 1245 New Britain Ave, West Hartford, CT 06110
Phone: 860-234-3325    
Ms. Camille Margaux Karalekas, APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 7 N Main St, West Hartford, CT 06107
Phone: 860-206-9552    Fax: 860-206-9554
Kelly Ann Riggieri, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 345 N Main St, Suite 245, West Hartford, CT 06117
Phone: 860-236-3000    Fax: 860-236-3002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.