MARLO L DERLA APRN
NPI 1013628031
Nurse Practitioner in Hartford, CT
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Marlo Derla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 112 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06106
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.
Which organizations bill Medicare for Marlo Derla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlo Derla reassigns Medicare benefits to 3 organizations: Hartford Hospital (Hartford, CT), Galen Inpatient Physicians PC (Hartford, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlo Derla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlo Derla accept?
Health plans from Anthem Blue Cross and Blue Shield list Marlo Derla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 16 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.
# Marlo L Derla, APRN · NPI 1013628031
Nurse Practitioner physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since December 9, 2022.
## Identity
- **NPI:** 1013628031 (Entity type: Individual)
- **Enumerated:** December 9, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 11175 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 31 SEYMOUR ST, Hartford, CT 06106-5503
- **Phone:** (860) 972-0475
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hartford Hospital (NPI 1407806391, Hartford, CT); Galen Inpatient Physicians PC (NPI 1902601420, Hartford, CT); Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013628031) · Data from the CMS NPPES public registry.