MARCY CALSETTA
NPI 1184140394
Nurse Practitioner - Family in South Windsor, CT

Active since August 18, 2017PECOS EnrolledAccepts Medicare Assignment
925 SULLIVAN AVE, STE 1, SOUTH WINDSOR, CT 06074(860) 644-1521 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marcy Calsetta NPPES

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

MARCY CALSETTA (NPI 1184140394) is an individual family provider in South Windsor, Connecticut, licensed in Connecticut (7179) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184140394
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARCY CALSETTA
Location Address925 SULLIVAN AVE, STE 1South Windsor, CT 06074-2080
Mailing Address30 Jordan LnWethersfield, CT 06109-1278 · (860) 263-0253 · Fax (860) 263-0262
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 18, 2017
Last NPPES UpdateFebruary 9, 2018
NPI 1184140394 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 · 7179
925 SULLIVAN AVE, South Windsor, CT 06074

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

Marcy Calsetta 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 ID5496021735
PECOS Enrollment IDI20171101000387
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
418 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
274 services50 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
22 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
21 services13 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
14 services14 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06074 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims400 services$7.15 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier23 claims779 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims435 services$2.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims36 services$66.48 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers32 claims32 services$18.13 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers21 claims21 services$7.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
925 SULLIVAN AVE, UNIT 2
SOUTH WINDSOR, CT 06074
Marriage & Family Therapist
925 SULLIVAN AVE, UNIT 2
SOUTH WINDSOR, CT 06074
Social Worker (Clinical)
925 SULLIVAN AVE, UNIT 2
SOUTH WINDSOR, CT 06074
Marriage & Family Therapist
925 SULLIVAN AVE, UNIT 2
SOUTH WINDSOR, CT 06074
Family Medicine
925 SULLIVAN AVE, UNIT 2
SOUTH WINDSOR, CT 06074
Nurse Practitioner (Family)
925 SULLIVAN AVE, SUITE 1
SOUTH WINDSOR, CT 06074

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 Marcy Calsetta's NPI number?

The NPI number for Marcy Calsetta is 1184140394. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Marcy Calsetta located?

Marcy Calsetta practices at 925 Sullivan Ave Ste 1, South Windsor, CT 06074. The listed phone number is (860) 644-1521.

What is Marcy Calsetta's specialty?

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

Is Marcy Calsetta enrolled in Medicare?

Yes. Marcy Calsetta 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 Marcy Calsetta was last updated on February 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.