Individual provider Active NPI

Andrew Douglas Kass, APN

  • Nurse Practitioner
  • Waterford, CT
National Provider Identifier
1982005047
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11317 Issued in CT
Practice address
230 Waterford Pkwy S
Waterford, CT 06385-1219
Phone
(860) 444-3744
Fax
(860) 271-4958
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11317 CT Primary

Addresses

Primary practice location

230 Waterford Pkwy S
Waterford, CT 06385-1219

Mailing address

230 Waterford Pkwy S
Waterford, CT 06385-1219
Phone (860) 444-3744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141107000635 NJ Practitioner - Nurse Practitioner 1254553209 Reassigns benefits to 1 organization
I20230130000304 CT Practitioner - Nurse Practitioner 1254553209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11317CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Yale University CurrentSince Oct 17, 2024 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Yale University Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
The William W Backus Hospital CurrentSince Jan 1, 2023 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
William W Backus Hospital CurrentSince Jan 1, 2023 Accepting new patients
Yale University CurrentSince Oct 17, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

196 Parkway S
Ste 202
Waterford, CT 06385
Phone (860) 439-0440

230 Waterford Parkway S
Waterford, CT 06385
Phone (860) 271-4360

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

66 W Gilbert St
Ste 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: akass478908@xdr.hhchealthdirect.org
  • Direct secure messaging: akass681483@direct.ynhh.org

Organizations & group practices 12

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 5

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1982005047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WATERFORD PKWY S",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851219",
            "telephone_number": "860-444-3744",
            "fax_number": "860-271-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WATERFORD PKWY S",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851219",
            "telephone_number": "860-444-3744",
            "fax_number": "860-271-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASS",
        "first_name": "ANDREW",
        "middle_name": "DOUGLAS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "11317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.