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DAEDLY POTUSEK APRN
NPI 1578022166
Nurse Practitioner - Psychiatric/Mental Health in Hamden, CT

Active since March 14, 2019PECOS Enrolled
2200 WHITNEY AVE STE 290, HAMDEN, CT 06518(203) 903-8308(203) 599-3927 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Jul 13, 2024, Mar 14, 2019 (3 updates tracked since 2019).

About Daedly Potusek Aprn NPPES

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

DAEDLY POTUSEK APRN (NPI 1578022166) is an individual psychiatric/mental health provider in Hamden, Connecticut, licensed in Connecticut (8133) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterbury, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578022166
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAEDLY POTUSEKCredential: APRN
Location Address2200 WHITNEY AVE STE 290Hamden, CT 06518-3695
Mailing Address2661 Whitney AvenueHamden, CT 06518
Phone(203) 903-8308
Fax(203) 599-3927
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 14, 2019
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1578022166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 8133
2200 WHITNEY AVE STE 290, Hamden, CT 06518
Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Phoenix AveWaterbury, CT 06702-1418 · Phone (203) 756-8021 ext. 3529

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daedly Potusek Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840524948
PECOS Enrollment IDI20190624001984
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 06518 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.

JENNIFER SUSKI FNP
Nurse Practitioner (Family)
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308
AMANDA ARMIJO APRN
Nurse Practitioner (Psychiatric/Mental Health)
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308
JONATHAN LAWRENCE QUILES APRN
Nurse Practitioner (Adult Health)
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308
MS. LAUREL NICOLE SLONGWHITE M.D.
Family Medicine
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308
DR. LORNA M SEYBOLT MD
Pediatrics
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308
REIA MASSARO APRN
Nurse Practitioner (Family)
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308
DR. JOSEPH XAVIER CANARIE M.D.
Pediatrics
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308
KISHA MONIQUE MURPHY
Nurse Practitioner (Adult Health)
2200 WHITNEY AVE STE 290
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 903-8308

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 Daedly Potusek's NPI number?

The NPI number for Daedly Potusek is 1578022166. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Daedly Potusek located?

Daedly Potusek practices at 2200 Whitney Ave Ste 290, Hamden, CT 06518. The listed phone number is (203) 903-8308.

What is Daedly Potusek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Daedly Potusek enrolled in Medicare?

Yes. Daedly Potusek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daedly Potusek was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.