Doctor profile · Federal record
Dr. Elise Fernstrom
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Norwich, CT
- NPI 1083411904
- Accepts Medicare
- 2 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
401 W Thames St Bldg 301
Norwich, CT 063607155
(860) 859-4563 - Mailing address
-
122 Brooklyn RD
Pomfret Center, CT 062592404
Credentials & registration
- NPI registered
- February 2025 — 1 yr on file
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State license (1)
- Connecticut #14409
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083411904. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$37
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Indivior Inc. | 1 | $36.63 |
By nature of payment
Frequently asked questions
What is Dr. Elise Fernstrom's medical specialty?
Dr. Elise Fernstrom practices Psychiatric/Mental Health Nurse Practitioner in Norwich, CT.
Where does Dr. Elise Fernstrom practice?
Dr. Elise Fernstrom practices at 401 W Thames St Bldg 301, Norwich, CT 063607155. Office phone: 8608594563.
What is Dr. Elise Fernstrom's NPI?
Dr. Elise Fernstrom's National Provider Identifier (NPI) is 1083411904, issued by NPPES.
Does Dr. Elise Fernstrom accept Medicare assignment?
Yes. Dr. Elise Fernstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.