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Active NPI 1619901535 Individual Practitioner Female Practitioner

Earlene Jane Peckham , APRN, CPNP, MSN

Nurse Practitioner - Pediatrics • New Haven, CT

Professional Overview & Biography Verified Profile Summary

Earlene Peckham, APRN, CPNP, MSN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in New Haven, CT. Practice services are available at 191 FOUNTAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

191 Fountain St

New Haven, CT 065151901

Telephone 2039466606
Fax 2039466637

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in New Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
79 Specialists

Practicing in New Haven, CT (426 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License CT 000425

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 191 FOUNTAIN ST, NEW HAVEN, CT 065151901 (Tel: 2039466606)

📍
Updated Business Mailing Address July 08, 2007

Registered at 658 CHESTNUT RIDGE RD, ORANGE, CT 064772029 (Tel: 2033879967)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EARLENE PECKHAM, APRN,CPNP,MSN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #000425 in CT)

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Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619901535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

658 Chestnut Ridge Rd

Orange, CT 064772029

Phone: 2033879967

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.