Individual provider Active NPI

Kathryn Bellico Cappiello, APRN

  • Family Nurse Practitioner
  • Wallingford, CT
National Provider Identifier
1619522257
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.008380 Issued in CT
Practice address
1062 Barnes Rd Ste 300
Wallingford, CT 06492-2576
Phone
(203) 265-9831
NPI assigned
Aug 8, 2019
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 12.008380 CT Primary

Addresses

Primary practice location

1062 Barnes Rd Ste 300
Wallingford, CT 06492-2576

Mailing address

1062 Barnes Rd
Ste 300
Wallingford, CT 06492-2576
Phone (203) 265-9831

Other practice location 1

267 Grant St
Bridgeport, CT 06610-2870
Phone (203) 384-3000

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
I20200318000491 CT Practitioner - Nurse Practitioner 0042648412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.73 of 100Reported as group
Quality
68.37
Promoting interoperability
100
Improvement activities
40
Cost
76.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8380CTMDGeneral Practice Dentistry
12.008380CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jun 2, 2024 Accepting new patients
Consulting Cardiologists, P.C. CurrentSince Dec 22, 2019 Accepting new patients
Connecticut Heart Physicians, Inc. PastSince Jul 24, 2006 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

305 Western Blvd
#100
Glastonbury, CT 06033
Phone (860) 247-0604

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

1062 Barnes Rd
Ste 300
Wallingford, CT 06492
Phone (203) 265-9831

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathryn.cappiello.1@6291.direct.athenahealth.com
  • Direct secure messaging: kbellico74455@direct.ynhh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1619522257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "address_2": "STE 300",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922576",
            "telephone_number": "203-265-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD STE 300",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922576",
            "telephone_number": "203-265-9831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Grant St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066102870",
            "country_code": "US",
            "telephone_number": "203-384-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPPIELLO",
        "first_name": "KATHRYN",
        "middle_name": "BELLICO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.008380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.