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

Active since June 16, 2016PECOS Enrolled
270 MAIN ST, PORTLAND, CT 06480(860) 342-3392(860) 358-8658 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2018, Apr 12, 2017, Oct 24, 2016 and 2 more (5 updates tracked since 2016).

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carly Odesina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartford Healthcare Medical Group, Inc
7.7 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033
Hartford Healthcare Urgent Care Centers, LLC
20 mi
Urgent Care
385 W MAIN ST
Avon, CT 06001
  • Reassigned Medicare billing, Connecticut enrollment
  • 182 clinicians in this Medicare group
NPI 1093239683 (860) 777-1280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Lower Connecticut River Valley Planning Region (860) 342-3392
ISRAEL CORDERO MD
Family Medicine
270 MAIN ST
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-3392
GEORGE M ROSENFELD MD
Family Medicine
270 MAIN ST
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-3392
JUSTIN CASKEY DO
Family Medicine
270 MAIN ST
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-3392
MRS. WENDY GRISWOLD APRN
Nurse Practitioner (Family)
270 MAIN ST
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-3392
MHS PRIMARY CARE
Family Medicine
270 MAIN ST
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-3392
JESSICA A TERRONE ROEHR DO
Family Medicine
270 MAIN ST
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-3392
MS. WENDY ANN TAGAN CONROY APRN
Nurse Practitioner (Family)
270 MAIN ST
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-3392

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 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.

Where is Carly Odesina located?

Carly Odesina practices at 270 Main St, Portland, CT 06480. The listed phone number is (860) 342-3392.

What is Carly Odesina's specialty?

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

Is Carly Odesina enrolled in Medicare?

Yes. Carly Odesina is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carly Odesina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Odesina reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Hartford Healthcare Urgent Care Centers, LLC (Avon, CT). Each 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 Carly Odesina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Odesina accept?

Health plans from Anthem Blue Cross and Blue Shield list Carly Odesina 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 Carly Odesina was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.