CASSANDRA TETRAULT
NPI 1033717996
Nurse Practitioner - Family in Guilford, CT
About Cassandra Tetrault NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSANDRA TETRAULT (NPI 1033717996) is an individual family provider in Guilford, Connecticut, licensed in Connecticut (12.010014) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Cassandra Tetrault 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 Cassandra Tetrault reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 124 clinicians in this Medicare group
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 62 clinicians in this Medicare group
Medway, MA 02053
- Reassigned Medicare billing, Massachusetts enrollment
- 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 06437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GUILFORD, CT 06437
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 Cassandra Tetrault's NPI number?
The NPI number for Cassandra Tetrault is 1033717996. It was assigned to this individual provider in the NPPES registry on October 13, 2020.
Where is Cassandra Tetrault located?
Cassandra Tetrault practices at 1057 Boston Post Rd Ste 2, Guilford, CT 06437. The listed phone number is (866) 389-2727.
What is Cassandra Tetrault's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cassandra Tetrault enrolled in Medicare?
Yes. Cassandra Tetrault 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 Cassandra Tetrault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Tetrault reassigns Medicare benefits to 3 organizations: Mc Diagnostic Of Connecticut, P.C. (Rocky Hill, CT), Minuteclinic Primary Care Connecticut PLLC (Rocky Hill, CT) and Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA). 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 Cassandra Tetrault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Cassandra Tetrault was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Cassandra Tetrault · NPI 1033717996
Family physician in Guilford, Connecticut. Individual provider, active in the CMS NPPES registry since October 13, 2020.
## Identity
- **NPI:** 1033717996 (Entity type: Individual)
- **Enumerated:** October 13, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12.010014 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1057 BOSTON POST RD STE 2, Guilford, CT 06437-2672
- **Phone:** (866) 389-2727
## 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): Mc Diagnostic Of Connecticut, P.C. (NPI 1386821932, Rocky Hill, CT); Minuteclinic Primary Care Connecticut PLLC (NPI 1548076086, Rocky Hill, CT); Minuteclinic Diagnostic Of Massachusetts LLC (NPI 1457470858, Medway, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 21, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1033717996) · Data from the CMS NPPES public registry.