KATHRYN SULLIVAN MITRA ACNP-BC - NPI 1255598629 - Nurse Practitioner in Stamford, CT

Q: What is Kathryn Mitra's NPI number?

The NPI number for Kathryn Mitra is 1255598629. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Q: What is Kathryn Mitra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Mitra was last updated on April 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kathryn Sullivan Mitra Acnp-bc NPPES

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

KATHRYN SULLIVAN MITRA ACNP-BC (NPI 1255598629) is an individual acute care provider in Stamford, Connecticut, licensed in Connecticut (005244) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255598629

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKATHRYN SULLIVAN MITRACredential: ACNP-BC

Location Address29 HOSPITAL PLZ STE 501Stamford, CT 06902-3602

Mailing Address29 Hospital Plz Ste 501Stamford, CT 06902-3602 · (203) 276-2321 · Fax (203) 276-2327

Phone(203) 276-2321

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 21, 2008

Last NPPES UpdateApril 4, 20232 updates tracked since enumeration

NPPES CertifiedApril 4, 2023

✔ NPI 1255598629 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

Licenses✔ Licensed in CT · 005244✔ Licensed in NY · 430397

Also ListedRegistered NurseTaxonomy 163W00000X · License 530419 (NY)

29 HOSPITAL PLZ STE 501, Stamford, CT 06902

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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

Kathryn Sullivan Mitra Acnp-bc 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 ID4789822040

PECOS Enrollment IDI20130528000061

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 06902 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 7

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

DONNA M LENTINI APRN

Nurse Practitioner (Adult Health)