DANIELA CALLE APRN
NPI 1356905590
Nurse Practitioner - Family in Cromwell, CT
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
Specialties & Licenses
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.
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.
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.
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.
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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.