Cassandra Cotter, APRN
Individual provider Active NPI Family Nurse Practitioner · Niantic, CT
NPI 1831834035 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1831834035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10567 (CT)
- Practice address
- 248 Flanders Rd
Niantic, CT 06357-1264 - Phone
- (860) 739-5426
- Fax
- (860) 865-2386
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
5 Pequot Park Rd
Westbrook, CT 06498-2856
Phone (860) 399-6167
Hospital & facility affiliations
- Lawrence & Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220701001889 | CT | Practitioner - Nurse Practitioner | 6709266133 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current |
Accepting new patients | |
| Internal Medicine of Clinton, LLC | Current |
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
- cmoreschi353426@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10567 | CT | Yes |
Addresses
Primary practice location
248 Flanders Rd
Niantic, CT 06357-1264
Mailing address
248 Flanders Rd
Niantic, CT 06357-1264
Phone (860) 739-5426
Other providers in Niantic, CT
- Dawn Clark
- Erin Colella
- Connecticut CVS Pharmacy LLC
- Bruce Cooper
- Rosemary Giambra Costa
- Martin Dacunha
- Nicole Danish
- Agnes Z. Dardas
- David D Thompson Jr & Robert a Linden PTR
- Detox Virtually
All providers in Niantic, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.