ELYSIA MARIE CERRETA-DIAL AGNP
NPI 1639694441
Nurse Practitioner - Gerontology in Stratford, CT

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment
2595 MAIN ST, STRATFORD, CT 06615(203) 345-0404(203) 908-4110 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2026, Oct 5, 2021, Jun 7, 2019 and 2 more (5 updates tracked since 2017).

About Elysia Marie Cerreta-dial Agnp NPPES

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

ELYSIA MARIE CERRETA-DIAL AGNP (NPI 1639694441) is an individual gerontology provider in Stratford, Connecticut, licensed in Connecticut (7166) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639694441
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameELYSIA MARIE CERRETA-DIALCredential: AGNP
Location Address2595 MAIN STStratford, CT 06615-5855
Mailing Address2595 Main StStratford, CT 06615-5855 · (203) 345-0404 · Fax (203) 908-4110
Fax(203) 908-4110
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 14, 2017
Last NPPES UpdateApril 23, 20265 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1639694441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CT · 7166
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 7166 (CT)
2595 MAIN ST, Stratford, CT 06615

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elysia Marie Cerreta-dial Agnp 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.

PECOS PAC ID7810262771
PECOS Enrollment IDI20171004000212
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
22 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06615 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 4

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

Family Medicine
2595 MAIN ST, 2ND FLOOR
STRATFORD, CT 06615
Marriage & Family Therapist
2595 MAIN ST
STRATFORD, CT 06615
Internal Medicine
2595 MAIN ST
STRATFORD, CT 06615
Nurse Practitioner (Gerontology)
2595 MAIN ST
STRATFORD, CT 06615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639694441, enumerated as an "individual" on August 14, 2017.

The provider is located at 2595 MAIN ST STRATFORD, CT 06615 and the phone number is (203) 345-0404.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.