MARYELLEN SIMKO APRN NPI 1154428282

NPI Information

  • NPI: 1154428282
  • Provider Name: MARYELLEN SIMKO, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 95 HOCKANUM BLVD
    UNIT 5013
    VERNON, CT
    ZIP 06066
  • Phone: (860) 538-5049

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NPI Details

Maryellen Simko, APRN is an adult health nurse practitioner in Vernon, CT. Maryellen Simko, APRN NPI is 1154428282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

95 HOCKANUM BLVD
UNIT 5013
VERNON, CT
ZIP 06066-099
Phone: (860) 538-5049

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/7/2017.

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
1363LA2200XNurse PractitionerAdult Health002739CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500001853MEDICARE PINCONNECTICUT
2004265006MEDICAIDCONNECTICUT

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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