Everol M. Ennis Jr., APRN
NPI 1205069614ActiveIndividual· Nurse Practitioner, Adult Health· Rocky Hill, CT
Nurse Practitioner, Adult Health (APRN) in Rocky Hill, Connecticut, licensed in CT, with an NPI issued in September 2009. Part D covered 12 prescriptions written in 2024.
Overview
| NPI | 1205069614 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Sep 1, 2009 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 004168 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 13 30-day fills |
|---|---|
| Total drug cost | $257.43 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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