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

Philip Miracle Ennin Jr., APRN

Individual provider Registered Nurse · NPI 1124843503

Philip Miracle Ennin Jr., APRN is a Nurse Practitioner in Plainville, Connecticut. Qualified in 2024, 2 years ago. Practices with Hdc Care Solutions LLC, a 184-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

269 Farmington Ave
Plainville, CT 06062-1335
Phone: (860) 655-2432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14447 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 164301 (CT)

Record details

NPI number1124843503
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hdc Care Solutions Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Plainville