DANIL ANISIMOV NPI 1114150984

NPI Information

  • NPI: 1114150984
  • Provider Name: DANIL ANISIMOV
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20 RESEARCH PKWY
    OLD SAYBROOK, CT
    ZIP 06475
  • Phone: (800) 370-3651

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NPI Details

Danil Anisimov is a psychiatric/mental health nurse practitioner in Old Saybrook, CT with 17 years of experience. Danil Anisimov NPI is 1114150984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 RESEARCH PKWY
OLD SAYBROOK, CT
ZIP 06475-214
Phone: (800) 370-3651
Fax: (860) 510-0020

The NPI 1114150984 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)

The enumeration date for this NPI number is 8/27/2009 and was last updated on 4/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4165CONNECTICUTNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health4165CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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