Elise Mae Fernstrom
Psychiatric/Mental Health Nurse Practitioner · Norwich, CT
Elise Mae Fernstrom is a psychiatric/mental health nurse practitioner with a practice address in Norwich, Connecticut, and NPI 1083411904, issued on Feb 27, 2025. Check the license (Connecticut 14409, as entered in NPPES) with the Connecticut board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Elise Mae Fernstrom
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License number
- 14409 CT
Self-reported in NPPES; status is on the state search - Practice location
- 401 W Thames St Bldg 301, Norwich, CT 06360
- Phone
- (860) 859-4563
- Enumerated
- Feb 27, 2025
- Record last updated
- Feb 27, 2025
- Medicare enrollment
- Enrolled (PECOS I20250930001646); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 1,108 in Connecticut → Look up another NPI →
Also registered at 401 W Thames St Bldg 301
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Vladimir Brown-Zheltkov, M.D.Psychiatry Physician1508014721
- Pamela Dole, EDD, MPH, FNPNurse Practitioner1245444702
- Tracey Edwards, LCSWClinical Social Worker1962775221
- Heather Fournier, LCSWClinical Social Worker1245896281
- Siobhan Gaston, APRNPsychiatric/Mental Health Nurse Practitioner1295254340
- Carleigh Hannah, LCSWClinical Social Worker1851934947
Verify Elise Mae Fernstrom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
Search for license 14409Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $36.63
1 payment: food and beverage; the largest payer was Indivior Inc. The 23,362 providers of this specialty with any payment received $1,027.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Harvest Healthcare LLCAvon, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Elise Mae Fernstrom among 1,108 psychiatric/mental health nurse practitioner records in Connecticut
Elise Mae Fernstrom is one of 1,108 psychiatric/mental health nurse practitioner records with a practice address in Connecticut. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 89% of them.
- NPI issued2025 · 89% of these records are older, 5% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · 51% of these records are
- Graduated2024 · median 2020 among the 566 with a school on file
- Record last updated2025 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
20 psychiatric/mental health nurse practitioner records list a practice address in Norwich
They are 20 of the 1,431 NPPES records with a practice address in Norwich, and 1,108 psychiatric/mental health nurse practitioner records in Connecticut.
All 1,108 in Connecticut → Every provider in Norwich → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Eleonore Bayles, APRNNorwich, CT 063601164933669
- Jeremy Booty, APRNNorwich, CT 063601669877189
- Siobhan Gaston, APRNNorwich, CT 063601295254340
- Lisa Harrison, APRNNorwich, CT 063601013295575
- John Kemp, APRNNorwich, CT 063601053967463
- Megan Klein, APRN, MS, LSNorwich, CT 063601437232766
- Eileen Moore, APRNNorwich, CT 063601588700538
- Kadian MorrisonNorwich, CT 063601205371093
Common questions
What is Elise Mae Fernstrom's NPI number?
Elise Mae Fernstrom's National Provider Identifier (NPI) is 1083411904, issued on Feb 27, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Elise Mae Fernstrom located?
The NPPES record lists a practice address at 401 W Thames St Bldg 301, Norwich, CT, 06360. Phone: (860) 859-4563. Providers update this record themselves, so call before visiting.
How can I verify Elise Mae Fernstrom's license?
NPPES lists Connecticut license number 14409, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.