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MARVIA ROSEMARIE MCDONALD-DIAS
NPI 1326765538
Nurse Practitioner in Waterbury, CT

Active since October 27, 2022PECOS Enrolled
211 SCHRAFFTS DR LOWR LEVEL, WATERBURY, CT 06705(203) 518-8218 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2025, Dec 6, 2022, Oct 27, 2022 (3 updates tracked since 2022).

About Marvia Rosemarie Mcdonald-dias NPPES

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

MARVIA ROSEMARIE MCDONALD-DIAS (NPI 1326765538) is an individual nurse practitioner in Waterbury, Connecticut, licensed in Connecticut (0000000100034388) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326765538
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARVIA ROSEMARIE MCDONALD-DIAS
Location Address211 SCHRAFFTS DR LOWR LEVELWaterbury, CT 06705-3287
Mailing Address436 Woodland StManchester, CT 06042-2865 · (860) 374-8538
Phone(203) 518-8218
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 27, 2022
Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1326765538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 0000000100034388
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 92948 (CT)
211 SCHRAFFTS DR LOWR LEVEL, Waterbury, CT 06705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marvia Rosemarie Mcdonald-dias is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244604031
PECOS Enrollment IDI20230317000928
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

3

Medicare enrollment records show Marvia Mcdonald-dias reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wct Behavioral Health & Medication Management PLLC
Same address
Family
211 SCHRAFFTS DR
Waterbury, CT 06705
  • Reassigned Medicare billing, Connecticut enrollment
  • 44 clinicians in this Medicare group
NPI 1285391474 (203) 518-8218
Impact Health Psych PC
19 mi
Psychiatric/Mental Health
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • 46 clinicians in this Medicare group
NPI 1730781022 (203) 497-3861
Viarepose Mental Health & Wellness LLC
29 mi
Psychiatric/Mental Health
843 MAIN ST STE 15
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1609672518 (860) 999-6248

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.

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.
186 services65 patients
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.
145 services55 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.
105 services34 patients
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.
47 services24 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.
34 services34 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06705 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

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

KIMBERLY DESIO LPC
Counselor (Professional)
211 SCHRAFFTS DR LOWR LEVEL
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 518-8218

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 Marvia Mcdonald-dias's NPI number?

The NPI number for Marvia Mcdonald-dias is 1326765538. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Marvia Mcdonald-dias located?

Marvia Mcdonald-dias practices at 211 Schraffts Dr Lowr Level, Waterbury, CT 06705. The listed phone number is (203) 518-8218.

What is Marvia Mcdonald-dias's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marvia Mcdonald-dias enrolled in Medicare?

Yes. Marvia Mcdonald-dias is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marvia Mcdonald-dias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marvia Mcdonald-dias reassigns Medicare benefits to 3 organizations: Wct Behavioral Health & Medication Management PLLC (Waterbury, CT), Impact Health Psych PC (Orange, CT) and Viarepose Mental Health & Wellness LLC (Manchester, 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 Marvia Mcdonald-dias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marvia Mcdonald-dias accept?

Health plans from Anthem Blue Cross and Blue Shield list Marvia Mcdonald-dias 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 Marvia Mcdonald-dias was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.