KAYLA MUKDAPRAKORN
NPI 1124762901
Nurse Practitioner - Family in Hartford, CT

Q: What is Kayla Mukdaprakorn's NPI number?

The NPI number for Kayla Mukdaprakorn is 1124762901. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Q: What is Kayla Mukdaprakorn's specialty?

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

Active since April 26, 2022PECOS Enrolled

21 GRAND ST, HARTFORD, CT 06106(860) 550-7500 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2022, Apr 26, 2022 (2 updates tracked since 2022).

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About Kayla Mukdaprakorn NPPES

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

KAYLA MUKDAPRAKORN (NPI 1124762901) is an individual family provider in Hartford, Connecticut, licensed in Connecticut (10523) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124762901

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAYLA MUKDAPRAKORN

Location Address21 GRAND STHartford, CT 06106-1541

Mailing Address21 Mclean StHartford, CT 06114-2626 · (203) 565-4575

Phone(860) 550-7500

Sole ProprietorNo

Enumeration DateApril 26, 2022

Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2022

✔ NPI 1124762901 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

License✔ Licensed in CT · 10523

21 GRAND 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 (PECOS)

Kayla Mukdaprakorn 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 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.

KANWALPREET SINGH DDS

Dentist (General Practice)