KATELYN MASTROGIACOMO PA-C
NPI 1346717352
Physician Assistant - Surgical in Bridgeport, CT
About Katelyn Mastrogiacomo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN MASTROGIACOMO PA-C (NPI 1346717352) is an individual surgical provider in Bridgeport, Connecticut, licensed in Connecticut (4397) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Katelyn Mastrogiacomo Pa-c 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 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIDGEPORT, CT 06606
BRIDGEPORT, CT 06606
BRIDGEPORT, CT 06606
BRIDGEPORT, CT 06606
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 Katelyn Mastrogiacomo's NPI number?
The NPI number for Katelyn Mastrogiacomo is 1346717352. It was assigned to this individual provider in the NPPES registry on October 29, 2018. The provider is also known as Katelyn Morico.
Where is Katelyn Mastrogiacomo located?
Katelyn Mastrogiacomo practices at 2800 Main St, Bridgeport, CT 06606. The listed phone number is (203) 576-6000.
What is Katelyn Mastrogiacomo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Katelyn Mastrogiacomo enrolled in Medicare?
Yes. Katelyn Mastrogiacomo 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.
When was this NPI record last updated?
The NPPES record for Katelyn Mastrogiacomo was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Katelyn Mastrogiacomo, PA-C · NPI 1346717352
Surgical physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since October 29, 2018.
## Identity
- **NPI:** 1346717352 (Entity type: Individual)
- **Enumerated:** October 29, 2018
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 4397 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 2800 MAIN ST, Bridgeport, CT 06606-4201
- **Phone:** (203) 576-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1346717352) · Data from the CMS NPPES public registry.