1. Home
  2. Directory
  3. Connecticut
  4. Hartford
  5. Nurse Practitioner
  6. NPI Profile

TAANIEL KIIDLI APRN
NPI 1093491987
Nurse Practitioner - Acute Care in Hartford, CT

Active since June 26, 2023PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR STREET SOUTH 502, HARTFORD, CT 06102(860) 972-0549 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Taaniel Kiidli Aprn NPPES

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

TAANIEL KIIDLI APRN (NPI 1093491987) is an individual acute care provider in Hartford, Connecticut, licensed in Connecticut (12.012424) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093491987
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTAANIEL KIIDLICredential: APRN
Location Address80 SEYMOUR STREET SOUTH 502Hartford, CT 06102-5037
Mailing Address1290 Silas Deane Hwy, Hhc-cvoWethersfield, CT 06109-4337
Phone(860) 972-0549
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 26, 2023
Last NPPES UpdateOctober 4, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1093491987 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 · 12.012424
80 SEYMOUR STREET SOUTH 502, Hartford, CT 06102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Taaniel Kiidli 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 ID4587008453
PECOS Enrollment IDI20240219003064
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.

Medicare Billing Reassignment

Medicare enrollment records show Taaniel Kiidli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartford Healthcare Medical Group Specialists, PLLC
0.1 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

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 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.

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 Taaniel Kiidli's NPI number?

The NPI number for Taaniel Kiidli is 1093491987. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Taaniel Kiidli located?

Taaniel Kiidli practices at 80 Seymour Street South 502, Hartford, CT 06102. The listed phone number is (860) 972-0549.

What is Taaniel Kiidli's specialty?

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

Is Taaniel Kiidli enrolled in Medicare?

Yes. Taaniel Kiidli 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 organization bills Medicare for Taaniel Kiidli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taaniel Kiidli reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). The 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 Taaniel Kiidli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taaniel Kiidli accept?

Health plans from Anthem Blue Cross and Blue Shield list Taaniel Kiidli 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 Taaniel Kiidli was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.