MARYANNE D CRISTODERO RN, APRN, FNP-BC
NPI 1083593909
Nurse Practitioner - Family in Stratford, CT

Active since August 27, 2025PECOS Enrolled
2909 MAIN ST, STRATFORD, CT 06614(203) 378-3080(203) 377-3897 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 4, 2026, Jul 16, 2026 (2 updates tracked since 2026).

About Maryanne D Cristodero Rn, Aprn, Fnp-bc NPPES

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

MARYANNE D CRISTODERO RN, APRN, FNP-BC (NPI 1083593909) is an individual family provider in Stratford, Connecticut, licensed in Connecticut (17837) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083593909
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYANNE D CRISTODEROCredential: RN, APRN, FNP-BC
Location Address2909 MAIN STStratford, CT 06614-4960
Mailing Address67 Green Knolls LnFairfield, CT 06824-3509 · (917) 750-5121
Fax(203) 377-3897
Sole ProprietorYes
Enumeration DateAugust 27, 2025
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1083593909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 17837
Also ListedRegistered NurseTaxonomy 163W00000X · License 74571 (CT)
2909 MAIN ST, Stratford, CT 06614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryanne D Cristodero Rn, Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06614 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 3

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

Clinic/Center (Physical Therapy)
2909 MAIN ST
STRATFORD, CT 06614
Radiology (Diagnostic Radiology)
2909 MAIN ST
STRATFORD, CT 06614
Radiology (Diagnostic Radiology)
2909 MAIN ST, ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C.
STRATFORD, CT 06614

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 Maryanne Cristodero's NPI number?

The NPI number for Maryanne Cristodero is 1083593909. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Maryanne Cristodero located?

Maryanne Cristodero practices at 2909 Main St, Stratford, CT 06614. The listed phone number is (203) 378-3080.

What is Maryanne Cristodero's specialty?

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

Is Maryanne Cristodero enrolled in Medicare?

Yes. Maryanne Cristodero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryanne Cristodero was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.