Cognivia Care LLC
NPI 1053105411 · Psychiatric/Mental Health Nurse Practitioner · Manchester, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cognivia Care LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Manchester, CT (NPI 1053105411).
Provider details
- NPI number
- 1053105411
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kerisha Prince, Owner(718) 201-9840
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-08
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Frequently asked questions
- What is Cognivia Care LLC's NPI number?
- Cognivia Care LLC's National Provider Identifier (NPI) is 1053105411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cognivia Care LLC?
- Cognivia Care LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cognivia Care LLC located?
- Cognivia Care LLC's practice location on file with NPPES is 903 Main St, Manchester, CT 06040-6008.
- What is Cognivia Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Cognivia Care LLC is (860) 854-4733.
- Does Cognivia Care LLC accept Medicare?
- Cognivia Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cognivia Care LLC?
- The authorized official listed on Cognivia Care LLC's NPPES record is Kerisha Prince, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cognivia Care LLC's NPI active?
- Yes — Cognivia Care LLC's NPI (1053105411) is active in the NPPES registry as of the last update on 2025-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.