Mrs Renee Patrice Divine, in Fairfield, CT - Medicare Nurse Practitioner

Mrs Renee Patrice Divine, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fairfield, Connecticut. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1073 N Benson Rd, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 254-4000.

Mrs Renee Patrice Divine is licensed to practice in Connecticut (license number NA) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245028521.

Contact Information

	Mrs Renee Patrice Divine,
	1073 N Benson Rd, Fairfield, CT 06824-5195
	(203) 254-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Renee Patrice Divine
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	1073 N Benson Rd, Fairfield, Connecticut
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Renee Patrice Divine graduated from nursing school in 2025

NPI Data:

NPI Number: 1245028521
Provider Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025

Medicare PECOS Information:

PECOS PAC ID: 1557866308
Enrollment ID: I20250924000730

Medical Identifiers

Medical identifiers for Mrs Renee Patrice Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245028521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NA (Connecticut)	Primary

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. Mrs Renee Patrice Divine 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 Address	Practice Location Address
Mrs Renee Patrice Divine, 95 Rockland Ave, Stratford, CT 06614-3117 Ph: (203) 241-6739	Mrs Renee Patrice Divine, 1073 N Benson Rd, Fairfield, CT 06824-5195 Ph: (203) 254-4000

Reviews and Comments

Nurse Practitioner Nurses in Fairfield, CT

Judith Karen Adelstein, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 189 Veres St, Fairfield, CT 06824 Phone: 203-464-7493
Ms. Anne Madeleine Hyde, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Katona Dr Ste 25a, Fairfield, CT 06824 Phone: 203-502-1404 Fax: 203-502-1404
Aneta Rafalo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 313 Figlar Ave, Fairfield, CT 06824 Phone: 203-856-9706
Dr. Lisa Marie Burton, PHD,ARNP, PMHCNS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 66 Elvira Ln, Fairfield, CT 06824 Phone: 786-300-5776
Elizabeth T Kamlani, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 Winnepoge Dr, Fairfield, CT 06825 Phone: 203-763-9452
Maureen Kiernan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Timber Ln, Fairfield, CT 06824 Phone: 203-247-5576
Kelley B Shanahan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1073 N Benson Rd, Fairfield, CT 06824 Phone: 206-254-4000 Fax: 203-254-4263

Mrs Renee Patrice Divine, - Medicare Nurse Practitioner in Fairfield, CT