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KATIE LYNN DZIEDZIC APRN
NPI 1093019234
Nurse Practitioner - Acute Care in Hartford, CT

Active since January 03, 2011PECOS Enrolled
80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06102(860) 545-4398 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Katie Lynn Dziedzic Aprn NPPES

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

KATIE LYNN DZIEDZIC APRN (NPI 1093019234) is an individual acute care provider in Hartford, Connecticut, licensed in Connecticut (004533) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093019234
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKATIE LYNN DZIEDZICCredential: APRN
Location Address80 SEYMOUR STREET, HARTFORD HOSPITAL CARDIOLOGY DEPTHartford, CT 06102-5037
Mailing AddressP.o. Box 415933, Hartford Hospital Professional ServicesBoston, MA 02241-5933 · (860) 545-7602
Phone(860) 545-4398
Sole ProprietorNo
Enumeration DateJanuary 3, 2011
Last NPPES UpdateApril 2, 2012
✔ NPI 1093019234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CT · 004533
80 SEYMOUR STREET, Hartford, CT 06102
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Other Names 1

Former Name (1)Katie Lynn Bacon Aprn

Other Identifiers 3

Medicare PIND400050166 - C00814CT
Medicaid004045332CT
Medicare PIND400050173 - C00023CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lynn Dziedzic Aprn 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 06102 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 20

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

JENNY ANN RICE PA-C
Physician Assistant (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 972-4670
MARY R NOON RD
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2604
DR. JASON ZAKKO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Capitol Planning Region (860) 696-5520
DR. ALFRED HERZOG M.D.
Psychiatry & Neurology (Psychiatry)
80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD, CT 06102
Capitol Planning Region (860) 545-3501
NATALIA P. BUKSA PA-C
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5176
KATIE ANN COPPOLA PA
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0000
AVA DALANI GORNEAULT
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2700
JEFFREY A CANTIN PA-C
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2840

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 Katie Dziedzic's NPI number?

The NPI number for Katie Dziedzic is 1093019234. It was assigned to this individual provider in the NPPES registry on January 3, 2011. The provider is also known as Katie Lynn Bacon Aprn.

Where is Katie Dziedzic located?

Katie Dziedzic practices at 80 Seymour Street Hartford Hospital Cardiology Dept, Hartford, CT 06102. The listed phone number is (860) 545-4398.

What is Katie Dziedzic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Katie Dziedzic enrolled in Medicare?

Yes. Katie Dziedzic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Dziedzic was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.