Regenerise Health LLC
NPI 1083317390 · Clinic/Center · Wallingford, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Regenerise Health LLC is a Clinic/Center organization in Wallingford, CT (NPI 1083317390).
Provider details
- NPI number
- 1083317390
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Authurine Hannam-Davis, Family Nurse Practitioner(860) 994-7339
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
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
3 yrs 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
Other names (DBA / former)
- Former legal business name
- Regenerise Health LLC
- Former legal business name
- Regenerise Health LLC
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2024-10-20
- Certified
- 2024-10-20
Frequently asked questions
- What is Regenerise Health LLC's NPI number?
- Regenerise Health LLC's National Provider Identifier (NPI) is 1083317390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Regenerise Health LLC?
- Regenerise Health LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Regenerise Health LLC located?
- Regenerise Health LLC's practice location on file with NPPES is 300 Church St, Wallingford, CT 06492-2253.
- What is Regenerise Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Regenerise Health LLC is (860) 994-7339.
- Does Regenerise Health LLC accept Medicare?
- Regenerise Health 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 Regenerise Health LLC?
- The authorized official listed on Regenerise Health LLC's NPPES record is Authurine Hannam-Davis, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Regenerise Health LLC's NPI active?
- Yes — Regenerise Health LLC's NPI (1083317390) is active in the NPPES registry as of the last update on 2024-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.