KETTLY CASSAMAJOR
NPI 1235660267
Nurse Practitioner - Family in Bridgeport, CT
About Kettly Cassamajor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETTLY CASSAMAJOR (NPI 1235660267) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (12.006973) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kettly Cassamajor 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
4Medicare enrollment records show Kettly Cassamajor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgeport, CT 06604
- Reassigned Medicare billing, Connecticut enrollment
- 132 clinicians in this Medicare group
Stamford, CT 06903
- Reassigned Medicare billing, Connecticut enrollment
- 20 clinicians in this Medicare group
Stamford, CT 06905
- Reassigned Medicare billing, Connecticut enrollment
- 4 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 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 4
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 06606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 6
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kettly Cassamajor's NPI number?
The NPI number for Kettly Cassamajor is 1235660267. It was assigned to this individual provider in the NPPES registry on March 22, 2017.
Where is Kettly Cassamajor located?
Kettly Cassamajor practices at 4920 Main St Ste 302, Bridgeport, CT 06606. The listed phone number is (475) 210-4960.
What is Kettly Cassamajor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kettly Cassamajor enrolled in Medicare?
Yes. Kettly Cassamajor 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 Kettly Cassamajor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kettly Cassamajor reassigns Medicare benefits to 4 organizations: Optimus Health Care Inc (Bridgeport, CT), Stella Medical Care LLC (Stamford, CT), Jack V. Diteodoro M.D,llc (Stamford, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Kettly Cassamajor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kettly Cassamajor accept?
Health plans from Anthem Blue Cross and Blue Shield list Kettly Cassamajor 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 Kettly Cassamajor was last updated on March 9, 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.
# Kettly Cassamajor · NPI 1235660267
Family physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since March 22, 2017.
## Identity
- **NPI:** 1235660267 (Entity type: Individual)
- **Enumerated:** March 22, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12.006973 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4920 MAIN ST STE 302, Bridgeport, CT 06606-1300
- **Phone:** (475) 210-4960 · **Fax:** (203) 371-0542
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Optimus Health Care Inc (NPI 1215207782, Bridgeport, CT); Stella Medical Care LLC (NPI 1255851481, Stamford, CT); Jack V. Diteodoro M.D,llc (NPI 1700194636, Stamford, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 9, 2023
- **Other identifiers:** Medicaid 004234788 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1235660267) · Data from the CMS NPPES public registry.