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KELLIE BUCCETTI
NPI 1114774155
Nurse Practitioner - Acute Care in Hartford, CT

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06106(203) 710-3992 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, May 6, 2024 (2 updates tracked since 2024).

About Kellie Buccetti NPPES

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

KELLIE BUCCETTI (NPI 1114774155) is an individual acute care provider in Hartford, Connecticut, licensed in Connecticut (13699) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114774155
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLIE BUCCETTI
Location Address80 SEYMOUR STHartford, CT 06106-3315
Mailing Address5 Susan DrWallingford, CT 06492-1939 · (203) 710-3992
Phone(203) 710-3992
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 6, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1114774155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CT · 13699
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
80 SEYMOUR ST, Hartford, CT 06106
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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

Kellie Buccetti 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 ID3375070089
PECOS Enrollment IDI20241219000856
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 06106 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.

JESSICA MCEWAN CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
CARLY DANIELLE RADCLIFFE
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
ELAINE LACANILAO CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
MICHAEL BRIAN BANIK APRN
Nurse Practitioner (Critical Care Medicine)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000
EMILY TRUEBIG
Physician Assistant
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (203) 785-2353
AASYA KOLIA PA-C
Physician Assistant (Medical)
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-5022
YASSER A AL-BAGHDADI M.D.
Anesthesiology
80 SEYMOUR ST, ANESTHESIA DEPT
HARTFORD, CT 06106
Capitol Planning Region (860) 545-2117
JILLIAN DZIEDZIC CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-5000

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 Kellie Buccetti's NPI number?

The NPI number for Kellie Buccetti is 1114774155. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Kellie Buccetti located?

Kellie Buccetti practices at 80 Seymour St, Hartford, CT 06106. The listed phone number is (203) 710-3992.

What is Kellie Buccetti's specialty?

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

Is Kellie Buccetti enrolled in Medicare?

Yes. Kellie Buccetti 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 Kellie Buccetti was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.