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MARLO L DERLA APRN
NPI 1013628031
Nurse Practitioner in Hartford, CT

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment
31 SEYMOUR ST, HARTFORD, CT 06106(860) 972-0475 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Dec 9, 2022 (2 updates tracked since 2022).

About Marlo L Derla Aprn NPPES

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

MARLO L DERLA APRN (NPI 1013628031) is an individual nurse practitioner in Hartford, Connecticut, licensed in Connecticut (11175) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013628031
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARLO L DERLACredential: APRN
Location Address31 SEYMOUR STHartford, CT 06106-5503
Mailing Address31 Seymour StHartford, CT 06106-5503 · (860) 972-0475
Phone(860) 972-0475
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 9, 2022
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1013628031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 11175
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
31 SEYMOUR ST, Hartford, CT 06106
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlo L Derla Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941674097
PECOS Enrollment IDI20230313002360
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 06106 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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 8

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

MELISSA RUTH GOCLOWSKI APRN
Nurse Practitioner
31 SEYMOUR ST, STE 100
HARTFORD, CT 06106
Capitol Planning Region (860) 549-3210
MRS. EMILY JANE RITTER APRN
Nurse Practitioner (Acute Care)
31 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
CHRISTOPHER J LENA MD
Orthopaedic Surgery
31 SEYMOUR ST, STE 100
HARTFORD, CT 06106
Capitol Planning Region (860) 549-3210
RYAN PATRICK KEENAN DNP, APRN, FNP-BC
Nurse Practitioner
31 SEYMOUR ST, STE 100
HARTFORD, CT 06106
Capitol Planning Region (860) 549-8276
DR. MARK SHEKHMAN M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
31 SEYMOUR ST, SUITE 100
HARTFORD, CT 06106
Capitol Planning Region (860) 549-8221
ERIN BUCCIERO PA-C
Physician Assistant
31 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
AUDREY APANOVITCH APRN
Nurse Practitioner
31 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 549-3210
CATHLEEN M PLATT APRN
Nurse Practitioner (Occupational Health)
31 SEYMOUR ST, STE 100
HARTFORD, CT 06106
Capitol Planning Region (860) 549-3210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlo Derla's NPI number?

The NPI number for Marlo Derla is 1013628031. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Marlo Derla located?

Marlo Derla practices at 31 Seymour St, Hartford, CT 06106. The listed phone number is (860) 972-0475.

What is Marlo Derla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marlo Derla enrolled in Medicare?

Yes. Marlo Derla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marlo Derla was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.