Active NPI
Nanci E Kaczegowicz, APRN
- Family Nurse Practitioner
- Trumbull, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 002926
- Practice address
- 115 Technology Dr
Suite B-106
Trumbull, CT 06611-6337 - Phone
- (203) 452-1411
- Fax
- (203) 452-1412
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 002926 | CT | Primary |
Addresses
Primary practice location
115 Technology Dr
Suite B-106
Trumbull, CT 06611-6337
Mailing address
44 Marsh Rd
Easton, CT 06612-1927
Phone (203) 374-9630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004242442 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1000 Bridgeport Ave
Suite 202
Shelton, CT 06484-4669
Phone (203) 712-9998
731 Main St
Suite 122
Monroe, CT 06468-2872
Phone (203) 261-7090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002926 | CT | MD | Marriage & Family Therapist |
| 2926 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Family | Current | Accepting new patients |
| Compassionate Care Counseling LLC | Current | Accepting new patients | |
| Behavioral Health Center for Counseling & Learning, LLC | Current | Accepting new patients | |
| Key Therapy LLC | Current | Accepting new patients | |
| Litchfield County Gastroenterology Associates, LLC | Past | Accepting new patients | |
| NP Care, LLC | Past | Accepting new patients | |
| MLZ Health Care Associates, LLC | Past | Accepting new patients | |
| Orthopaedic Specialty Group, P.C. | Past | Accepting new patients |
Locations
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400
731 Main St
Ste 122
Monroe, CT 06468
Phone (203) 261-7090
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
1000 Bridgeport Ave
Ste 202
Shelton, CT 06484
Phone (203) 712-9998
Interoperability endpoints
- nanci.kaczegowicz@xdr.hhchealthdirect.org
Organizations & group practices 8
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.
-
- Professional Counselor
- Middlebury, CT
- NPI 1578788766
-
- Marriage & Family Therapist
- Monroe, CT
- NPI 1114393493
-
- Professional Counselor
- Middlebury, CT
- NPI 1932757515
-
- Gastroenterology Physician
- Torrington, CT
- NPI 1871513283
-
- Adult Health Nurse Practitioner
- Clinton, CT
- NPI 1205094885
-
- Nurse Practitioner
- Shelton, CT
- NPI 1386693182
-
- Orthopaedic Surgery Physician
- Fairfield, CT
- NPI 1558313767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1487657276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MARSH RD",
"city": "EASTON",
"state": "CT",
"postal_code": "066121927",
"telephone_number": "203-374-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR",
"address_2": "SUITE B-106",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116337",
"telephone_number": "203-452-1411",
"fax_number": "203-452-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZEGOWICZ",
"first_name": "NANCI",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "002926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004242442",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.