Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Taylor Mizenko, APRN, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1558147405

Madison Taylor Mizenko, APRN, AGNP-C is a Nurse Practitioner in Essex, Connecticut. Qualified in 2023, 3 years ago. Practices with Essex Dermatology LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

20 Saybrook Rd
Essex, CT 06426-1401
Phone: (860) 767-9998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AG09230034 (CT)

Record details

NPI number1558147405
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGNP-C
Sole proprietorYes
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Essex Dermatology Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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