MARY WATTICK SUTTERFIELD APRN FNP-C
NPI 1487402301
Nurse Practitioner - Family in Mansfield Center, CT

Active since May 07, 2024PECOS Enrolled
12A LEDGEBROOK DR, MANSFIELD CENTER, CT 06250(860) 423-2960 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, May 7, 2024 (2 updates tracked since 2024).

About Mary Wattick Sutterfield Aprn Fnp-c NPPES

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

MARY WATTICK SUTTERFIELD APRN FNP-C (NPI 1487402301) is an individual family provider in Mansfield Center, Connecticut, licensed in Connecticut (13132) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Storrs, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487402301
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY WATTICK SUTTERFIELDCredential: APRN FNP-C
Location Address12A LEDGEBROOK DRMansfield Center, CT 06250-1690
Mailing Address1244 Storrs RdStorrs, CT 06268-2200 · (860) 456-9720
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 7, 2024
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1487402301 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 · 13132
12A LEDGEBROOK DR, Mansfield Center, CT 06250

Secondary Practice Location 1

Location 11244 Storrs RdStorrs, CT 06268-2200 · Phone (860) 456-9720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Wattick Sutterfield Aprn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082152848
PECOS Enrollment IDI20240813000101
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.

Areas of Expertise CMS Part B claims 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services40 patients
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.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06250 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 5

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

Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250

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 Mary Sutterfield's NPI number?

The NPI number for Mary Sutterfield is 1487402301. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Mary Sutterfield located?

Mary Sutterfield practices at 12A Ledgebrook Dr, Mansfield Center, CT 06250. The listed phone number is (860) 423-2960.

What is Mary Sutterfield's specialty?

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

Is Mary Sutterfield enrolled in Medicare?

Yes. Mary Sutterfield is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Sutterfield was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.