CAITLIN BALLARO
NPI 1255817888
Nurse Practitioner - Family in Monroe, CT

Active since July 17, 2018PECOS EnrolledAccepts Medicare Assignment
324 ELM ST STE 202B, MONROE, CT 06468(203) 880-5335 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2018, Aug 7, 2018, Jul 17, 2018 (3 updates tracked since 2018).

About Caitlin Ballaro NPPES

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

CAITLIN BALLARO (NPI 1255817888) is an individual family provider in Monroe, Connecticut, licensed in Connecticut (12.007741) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255817888
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAITLIN BALLARO
Location Address324 ELM ST STE 202BMonroe, CT 06468
Mailing Address62 Elm StShelton, CT 06484-6012 · (203) 996-4257
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 17, 2018
Last NPPES UpdateNovember 5, 20183 updates tracked since enumeration
✔ NPI 1255817888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 12.007741
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 10.100193 (CT)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 12.007741 (CT)
324 ELM ST STE 202B, Monroe, CT 06468

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

Caitlin Ballaro 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 ID4385995836
PECOS Enrollment IDI20180921000859
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Caitlin Ballaro reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
1266 E MAIN ST
Stamford, CT 06902
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Careconnectmd Connecticut P.C.
  • 168 clinicians in this Medicare group
Geriatric Medicine
100 CROSSING BLVD STE 300
Framingham, MA 01702
  • Reassigned Medicare billing, Connecticut enrollment
  • 142 clinicians in this Medicare group
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, Connecticut enrollment
  • 149 clinicians in this Medicare group
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
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 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.

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.
924 services114 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.
357 services85 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.
174 services61 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
31 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06468 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 2

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers19 claims568 services$4.12 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims6,552 services$0.52 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 15

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

Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Acute Care)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Adult Health)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST STE 202B
MONROE, CT 06468
Nurse Practitioner
324 ELM ST STE 202B
MONROE, CT 06468

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 Caitlin Ballaro's NPI number?

The NPI number for Caitlin Ballaro is 1255817888. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Caitlin Ballaro located?

Caitlin Ballaro practices at 324 Elm St Ste 202B, Monroe, CT 06468. The listed phone number is (203) 880-5335.

What is Caitlin Ballaro's specialty?

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

Is Caitlin Ballaro enrolled in Medicare?

Yes. Caitlin Ballaro 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 Caitlin Ballaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Ballaro reassigns Medicare benefits to 4 organizations: Careconnectmd Connecticut PC (Stamford, CT), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA) 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 Caitlin Ballaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Ballaro accept?

Health plans from Anthem Blue Cross and Blue Shield list Caitlin Ballaro 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 Caitlin Ballaro was last updated on November 5, 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.