DANIELA CALLE APRN
NPI 1356905590
Nurse Practitioner - Family in Cromwell, CT

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
70 SHUNPIKE RD, CROMWELL, CT 06416(860) 358-5280(860) 358-8650 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2025, Apr 23, 2019 (2 updates tracked since 2019).

About Daniela Calle Aprn NPPES

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

DANIELA CALLE APRN (NPI 1356905590) is an individual family provider in Cromwell, Connecticut, licensed in Connecticut (8154) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356905590
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELA CALLECredential: APRN
Location Address70 SHUNPIKE RDCromwell, CT 06416
Mailing Address333 Bartholomew RdMiddletown, CT 06457-4847 · (860) 593-0170
Fax(860) 358-8650
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 23, 2019
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1356905590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 8154
70 SHUNPIKE RD, Cromwell, CT 06416

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

Daniela Calle Aprn 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 ID3072846542
PECOS Enrollment IDI20190617000095
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 Reassignment

Medicare enrollment records show Daniela Calle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
540 SAYBROOK RD STE 100
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 147 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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06416 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.

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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Family Medicine
70 SHUNPIKE RD
CROMWELL, CT 06416
Nurse Practitioner (Family)
70 SHUNPIKE RD
CROMWELL, CT 06416
Family Medicine
70 SHUNPIKE RD
CROMWELL, CT 06416
Family Medicine
70 SHUNPIKE RD
CROMWELL, CT 06416
Family Medicine
70 SHUNPIKE RD
CROMWELL, CT 06416
Family Medicine
70 SHUNPIKE RD, SUITE 301
CROMWELL, CT 06416
Family Medicine
70 SHUNPIKE RD
CROMWELL, CT 06416
Nurse Practitioner (Family)
70 SHUNPIKE RD
CROMWELL, CT 06416

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 Daniela Calle's NPI number?

The NPI number for Daniela Calle is 1356905590. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Daniela Calle located?

Daniela Calle practices at 70 Shunpike Rd, Cromwell, CT 06416. The listed phone number is (860) 358-5280.

What is Daniela Calle's specialty?

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

Is Daniela Calle enrolled in Medicare?

Yes. Daniela Calle 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 organization bills Medicare for Daniela Calle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniela Calle reassigns Medicare benefits to Mhs Primary Care Inc. (Middletown, CT). The 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 Daniela Calle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniela Calle accept?

Health plans from Anthem Blue Cross and Blue Shield list Daniela Calle 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 Daniela Calle was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.