MARY ELLEN BARANIK CFNP NPI 1275670523

NPI Information

NPI: 1275670523
Provider Name: MARY ELLEN BARANIK, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
31 SEYMOUR ST FL 2
HARTFORD, CT
ZIP 06106
Phone: (860) 972-0475
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Mary Ellen Baranik, CFNP is a family nurse practitioner in Hartford, CT with 22 years of experience. Mary Ellen Baranik, CFNP NPI is 1275670523. 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:

31 SEYMOUR ST FL 2
HARTFORD, CT
ZIP 06106-521
Phone: (860) 972-0475

The NPI 1275670523 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 enumeration date for this NPI number is 1/30/2007 and was last updated on 5/5/2023.

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
1	363LF0000X	Nurse Practitioner	Family	47075	WEST VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	7462	CONNECTICUT	Yes

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
1	7101133000	MEDICAID	WEST VIRGINIA
2	2351600	MEDICAID	OHIO
3	000597734	OTHER	WEST VIRGINIA	BCBS

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: 4/28/2024

NPI Synchronization or Removal

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