NICHOLAS JOHN BELLACICCO
NPI 1003495052
Psychiatry & Neurology - Neurology in West Hartford, CT

Q: What is Nicholas Bellacicco's NPI number?

The NPI number for Nicholas Bellacicco is 1003495052. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Nicholas Bellacicco's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since April 06, 2021PECOS Enrolled

65 MEMORIAL RD STE 508, WEST HARTFORD, CT 06107(860) 696-2925 Get Directions Write a Review

NPPES record last updated: June 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2025, Apr 6, 2021 (2 updates tracked since 2021).

On this page

About Nicholas John Bellacicco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS JOHN BELLACICCO (NPI 1003495052) is an individual neurology provider in West Hartford, Connecticut, licensed in Connecticut (81124) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003495052

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameNICHOLAS JOHN BELLACICCO

Location Address65 MEMORIAL RD STE 508West Hartford, CT 06107-4233

Mailing Address65 Memorial Rd Ste 508West Hartford, CT 06107-4233 · (860) 696-2925

Phone(860) 696-2925

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 6, 2021

Last NPPES UpdateJune 29, 20252 updates tracked since enumeration

NPPES CertifiedJune 29, 2025

✔ NPI 1003495052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CT · 81124

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

65 MEMORIAL RD STE 508, West Hartford, CT 06107

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas John Bellacicco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971067067

PECOS Enrollment IDI20260709002927

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA WOODWARD PA

Physician Assistant (Medical)