Philip Miracle Ennin Jr., APRN
- Affiliated sites
- 2
- Medical groups
- 4
- State license
- 1
- Year NPI issued
- 2024
- Practice address
- 21 Grand Street, Hartford, CT 06106
- Practice phone
- Call (860) 550-7500
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Charter Oak Health Center - Hartford (Grand St)
FQHC - Main Site · Hartford, Connecticut
Find Philip Ennin's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Philip Miracle Ennin Jr. is a nurse practitioner in Hartford, Connecticut
Philip Ennin practices at Charter Oak Health Center - Hartford (Grand St) in Hartford, Connecticut.
Philip Ennin's NPI, 1124843503, was assigned on November 20, 2024. Philip Ennin holds Connecticut license 14447.
- NPI
- 1124843503NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5294257150
- NPI enumeration date
- November 20, 2024
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (860) 550-7500
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 28
- Medical school graduation
- 2024
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Philip Miracle Ennin Jr. practices at Charter Oak Health Center - Hartford (Grand St) in Hartford, Connecticut
Philip Ennin's primary practice is Charter Oak Health Center - Hartford (Grand St), at 21 Grand Street, Hartford, CT 06106 in Capitol County. The practice phone is (860) 550-7500.
- Charter Oak Health Center - Hartford (Grand St)21 Grand Street, Hartford, CT 06106 · Capitol CountyPhone(860) 550-7500
Source: Dmand AI Affiliation Data
Philip Miracle Ennin Jr. is affiliated with 2 sites of care and 4 medical groups
Philip Ennin's primary practice is Charter Oak Health Center - Hartford (Grand St) in Hartford, Connecticut. The medical group on file is HealthDrive. Dmand AI also links Philip Ennin to 3 more medical groups and 1 group practice or clinic, each named with a free account. Philip Ennin's employer is on file too: a community health center (fqhc).
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Philip Miracle Ennin Jr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Philip Ennin practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Charter Oak Health Center - Hartford (Grand St) | Available with a free account |
| +1 more site and 3 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Philip Miracle Ennin Jr. is one of 635 nurse practitioners in Connecticut
Nurse practitioner is Philip Ennin's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Philip Ennin is licensed in Connecticut.
Specialties and state licenses
- Nurse practitioner, ConnecticutPrimary
Nurse practitioners near Philip Ennin
Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Philip Miracle Ennin Jr.'s patients have a median age of 84
Across all payers, Dmand AI patient panel data puts Philip Ennin's median patient age at 84, with 71% women.
Philip Ennin's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 84
Patient panel by sex, all payers
- Women71%
- Men27%
Source: Dmand AI Patient Panel Data
How Philip Miracle Ennin Jr. takes part in Medicare
Philip Ennin accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Philip Miracle Ennin Jr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Philip Miracle Ennin Jr.
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Philip Miracle Ennin Jr.'s NPI number?
Philip Miracle Ennin Jr.'s NPI number is 1124843503. It was assigned on November 20, 2024, and it is active in the NPI Registry.
What does Philip Miracle Ennin Jr. specialize in?
Philip Miracle Ennin Jr. is a nurse practitioner in Hartford, Connecticut. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).
Where does Philip Miracle Ennin Jr. practice?
Philip Ennin practices at 21 Grand Street, Hartford, CT 06106. Philip Ennin's primary practice is Charter Oak Health Center - Hartford (Grand St) in Hartford, Connecticut. Dmand AI also links Philip Ennin to 3 medical groups and 1 group practice or clinic.
What is Philip Miracle Ennin Jr.'s office phone number?
The practice phone on file for Philip Ennin is (860) 550-7500.
What is Philip Miracle Ennin Jr.'s medical license number?
Philip Ennin holds Connecticut license 14447.
What medical group is Philip Miracle Ennin Jr. part of?
Philip Ennin is linked to HealthDrive. Dmand AI links Philip Ennin to 3 more medical groups.
Does Philip Miracle Ennin Jr. accept Medicare?
Yes. CMS lists Philip Ennin as accepting Medicare assignment.
How long has Philip Miracle Ennin Jr. been practicing?
Philip Ennin graduated from medical school in 2024, 2 years ago.
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