Individual provider Active NPI

Karolina Bucci, APRN

  • Family Nurse Practitioner
  • Trumbull, CT
National Provider Identifier
1629624564
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8320 Issued in CT
Practice address
7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Phone
(203) 335-0195
Fax
(203) 335-7293
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 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 8320 CT Primary

Addresses

Primary practice location

7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763

Mailing address

7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Phone (203) 335-0195

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
I20191218002204 CT Practitioner - Nurse Practitioner 8921432386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Nephrology Associates PCGroup PAC ID 4981590627, 10 clinicians

Practice addresses (Care Compare)

7 Cambridge Dr
Suite 201
Trumbull, CT 06611-4763
Phone (203) 335-0195

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Family CurrentSince Jun 6, 2022 Accepting new patients

Locations

7 Cambridge Dr
Ste 201
Trumbull, CT 06611
Phone (203) 335-0195

Organizations & group practices 1

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1629624564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CAMBRIDGE DR STE 201",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114763",
            "telephone_number": "203-335-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMBRIDGE DR STE 201",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114763",
            "telephone_number": "203-335-0195",
            "fax_number": "203-335-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "KAROLINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.