Individual provider Active NPI

Cassandra Cotter, APRN

  • Family Nurse Practitioner
  • Niantic, CT
National Provider Identifier
1831834035
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10567 Issued in CT
Practice address
248 Flanders Rd
Niantic, CT 06357-1264
Phone
(860) 739-5426
Fax
(860) 865-2386
NPI assigned
May 2, 2022
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 10567 CT Primary

Addresses

Primary practice location

248 Flanders Rd
Niantic, CT 06357-1264

Mailing address

248 Flanders Rd
Niantic, CT 06357-1264
Phone (860) 739-5426

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
I20220701001889 CT Practitioner - Nurse Practitioner 6709266133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

5 Pequot Park Rd
Westbrook, CT 06498-2856
Phone (860) 399-6167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jul 31, 2022 Accepting new patients
Internal Medicine of Clinton, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

248 Flanders Rd
Niantic, CT 06357
Phone (860) 739-5426

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

99 Hawley Ln
Fl 3
Stratford, CT 06614
Phone (203) 502-4650

49 Sandy Desert Rd
Uncasville, CT 06382
Phone (860) 862-7329

5 Pequot Park Rd
Westbrook, CT 06498
Phone (860) 339-3350

5 Pequot Park Rd
Ste 301
Westbrook, CT 06498
Phone (860) 399-6167

Interoperability endpoints

  • Direct secure messaging: cmoreschi353426@direct.ynhh.org

Organizations & group practices 2

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.

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1831834035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 FLANDERS RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571264",
            "telephone_number": "860-739-5426",
            "fax_number": "860-865-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 FLANDERS RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571264",
            "telephone_number": "860-739-5426",
            "fax_number": "860-865-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "CASSANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

Verify at the official NPI Registry.