DR. SUZANNA SMALDONE APRN
NPI 1053706499
Nurse Practitioner - Family in Monroe, CT

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
401 MONROE TPKE, MONROE, CT 06468(203) 268-2501(203) 268-2540 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2022, Aug 1, 2017 (2 updates tracked since 2017).

About Dr. Suzanna Smaldone Aprn NPPES

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

DR. SUZANNA SMALDONE APRN (NPI 1053706499) is an individual family provider in Monroe, Connecticut, licensed in Connecticut (6076) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053706499
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SUZANNA SMALDONECredential: APRN
Location Address401 MONROE TPKEMonroe, CT 06468-2276
Mailing Address1290 Silas Deane Hwy, Hartford Healthcare-cvoWethersfield, CT 06109-4337
Fax(203) 268-2540
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 2, 2015
Last NPPES UpdateMay 16, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
NPI 1053706499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CT · 6076 Licensed in CT · 006076
401 MONROE TPKE, Monroe, CT 06468

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

Dr. Suzanna Smaldone 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 ID749501369
PECOS Enrollment IDI20150609000186
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06468 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.

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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.82
Promoting Interoperability100
Improvement Activities40
Cost79.76

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Pediatrics)
401 MONROE TPKE, CANTERBURY PEDIATRICS
MONROE, CT 06468
Pediatrics
401 MONROE TPKE, CANTERBURY PEDIATRICS
MONROE, CT 06468
Orthopaedic Surgery
401 MONROE TPKE
MONROE, CT 06468
Pediatrics
401 MONROE TPKE
MONROE, CT 06468
Nurse Practitioner
401 MONROE TPKE
MONROE, CT 06468
Physician Assistant
401 MONROE TPKE
MONROE, CT 06468
Physical Therapist
401 MONROE TPKE, VILLAGE SQUARE MEDICAL OFFICES
MONROE, CT 06468
Pediatrics
401 MONROE TPKE
MONROE, CT 06468

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 Suzanna Smaldone's NPI number?

The NPI number for Suzanna Smaldone is 1053706499. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Suzanna Smaldone located?

Suzanna Smaldone practices at 401 Monroe Tpke, Monroe, CT 06468. The listed phone number is (203) 268-2501.

What is Suzanna Smaldone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Suzanna Smaldone enrolled in Medicare?

Yes. Suzanna Smaldone 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 Suzanna Smaldone was last updated on May 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.