MRS. CARLY M ODESINA APRN - NPI 1548610959 - Nurse Practitioner in Portland, CT

Q: What is Carly Odesina's NPI number?

The NPI number for Carly Odesina is 1548610959. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Q: What is Carly Odesina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Odesina was last updated on September 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mrs. Carly M Odesina Aprn NPPES

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

MRS. CARLY M ODESINA APRN (NPI 1548610959) is an individual family provider in Portland, Connecticut, licensed in Connecticut (12.006642) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548610959

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CARLY M ODESINACredential: APRN

Location Address270 MAIN STPortland, CT 06480-1836

Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-4820 · Fax (860) 358-8661

Phone(860) 342-3392

Fax(860) 358-8658

Sole ProprietorNo

Enumeration DateJune 16, 2016

Last NPPES UpdateSeptember 14, 20185 updates tracked since enumeration

✔ NPI 1548610959 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 · 12.006642

270 MAIN ST, Portland, CT 06480

Open in Google Maps ↗

Other Identifiers 1

Medicaid008067661CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carly M Odesina Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06480 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 8

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

DR. MATTHEW NICHOLS

Family Medicine

270 MAIN ST
PORTLAND, CT 06480