MARCY CALSETTA
NPI 1184140394
Nurse Practitioner - Family in South Windsor, CT
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Marcy Calsetta reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 116 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 142 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 149 clinicians in this Medicare group
Stamford, CT 06902
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Careconnectmd Connecticut P.C.
- 168 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, Connecticut enrollment
- 135 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
SOUTH WINDSOR, CT 06074
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.
Which organizations bill Medicare for Marcy Calsetta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcy Calsetta reassigns Medicare benefits to 5 organizations: Prime Healthcare, PC (Wethersfield, CT), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA), Careconnectmd Connecticut PC (Stamford, CT) and Healthdrive Medical Services Southeast LLC (Columbia, MD). Each 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 Marcy Calsetta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marcy Calsetta accept?
Health plans from Anthem Blue Cross and Blue Shield list Marcy Calsetta 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 Marcy Calsetta was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Marcy Calsetta · NPI 1184140394
Family physician in South Windsor, Connecticut. Individual provider, active in the CMS NPPES registry since August 18, 2017.
## Identity
- **NPI:** 1184140394 (Entity type: Individual)
- **Enumerated:** August 18, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7179 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 925 SULLIVAN AVE, STE 1, South Windsor, CT 06074-2080
- **Phone:** (860) 644-1521
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Prime Healthcare, PC (NPI 1184819302, Wethersfield, CT); Value Based Long Term Care H PC (NPI 1134951676, Framingham, MA); Hdc Care Solutions, LLC (NPI 1033861349, Framingham, MA); Careconnectmd Connecticut PC (NPI 1467187336, Stamford, CT); Healthdrive Medical Services Southeast LLC (NPI 1437930146, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1184140394) · Data from the CMS NPPES public registry.