Innovative Healthcare of Connecticut LLC
NPI 1619567260ActiveOrganization· Nurse Practitioner, Family· Manchester, CT
Nurse Practitioner, Family in Manchester, Connecticut, registered in NPPES in January 2021. The authorized official on file is Camylle Appiahene, MSN, APRN, NP-C, Nurse Practitioner/Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1619567260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2021 |
| Last updated in NPPES | May 23, 2025 |
| Certified by provider | May 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Mass Immunization (Roster Biller Only) (CT) |
|---|
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