Individual provider Active NPI

Kerri Anne Kulesza Rossi, APRN

  • Family Nurse Practitioner
  • North Salem, NY
National Provider Identifier
1083089841
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
006245 Issued in CT
Practice address
36 Sunset PL
North Salem, NY 10560-1301
Phone
(508) 847-7885
Fax
(914) 485-1203
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 006245 CT Primary

Addresses

Primary practice location

36 Sunset PL
North Salem, NY 10560-1301

Mailing address

36 Sunset Place
North Salem, NY 10560-1301
Phone (508) 847-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160209002492 CT Practitioner - Nurse Practitioner 4385948512 Reassigns benefits to 2 organizations
I20170221000042 NY Practitioner - Nurse Practitioner 4385948512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

33 Germantown Rd
Danbury, CT 06810-5038
Phone (203) 739-8330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
006245CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Oct 31, 2017 Accepting new patients
Ny Mobile Medical PC CurrentSince May 2, 2017 Accepting new patients
Mobile Care Solutions PC CurrentSince Jan 21, 2017 Accepting new patients
Ny Mobile Medical PC CurrentSince May 2, 2017 Accepting new patients

Locations

33 Germantown Rd
Danbury, CT 06810
Phone (203) 739-8310

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

67 Holly Hill Ln
Ste 102
Greenwich, CT 06830
Phone (203) 622-1881

81 Holly Hill Ln
Fl 3
Greenwich, CT 06830
Phone (203) 884-8420

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

65 Broadway
Ste 903
New York, NY 10006
Phone (212) 571-5550

6 Maiden Ln
Rm 500
New York, NY 10038
Phone (929) 630-4100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1083089841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SUNSET PLACE",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601301",
            "telephone_number": "508-847-7885",
            "fax_number": "914-485-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SUNSET PL",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601301",
            "telephone_number": "508-847-7885",
            "fax_number": "914-485-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "KERRI",
        "middle_name": "ANNE KULESZA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "006245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salem, NY

Sources for this page

Verify at the official NPI Registry.