Individual provider Active NPI

Casey M Dicine

  • Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1366249864
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14519 Issued in CT
Practice address
307 Connecticut Ave
Norwalk, CT 06854-1802
Phone
(203) 298-9752
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14519 CT Primary

Addresses

Primary practice location

307 Connecticut Ave
Norwalk, CT 06854-1802

Mailing address

14 Cudlipp St
Norwalk, CT 06853-1212
Phone (475) 292-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250930001403 CT Practitioner - Nurse Practitioner 5991201923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docs Medical IncGroup PAC ID 3173895000, 30 clinicians

Practice addresses (Care Compare)

317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14519CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Inc CurrentSince Jul 24, 2025 Accepting new patients
Ophthalmic Consultants of Connecticut PC Past Accepting new patients
CT Medical Group Inc. Past Accepting new patients

Locations

317 Foxon Rd
East Haven, CT 06513
Phone (203) 484-9333

317 Foxon Rd
Ste 2
East Haven, CT 06513

525 Tunxis Hill Cut Off
Fairfield, CT 06825
Phone (203) 557-8200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1366249864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CUDLIPP ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068531212",
            "telephone_number": "475-292-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541802",
            "telephone_number": "203-298-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICINE",
        "first_name": "CASEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "14519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.