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KAROLINA ZOFIA DUDZIK APRN
NPI 1649713926
Nurse Practitioner - Adult Health in West Haven, CT

Active since November 18, 2016PECOS Enrolled
88.82/100
CMS Quality Rating
687 CAMPBELL AVE, WEST HAVEN, CT 06516(203) 932-6481(203) 932-4051 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2020, Feb 16, 2017, Nov 18, 2016 (3 updates tracked since 2016).

About Karolina Zofia Dudzik Aprn NPPES

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

KAROLINA ZOFIA DUDZIK APRN (NPI 1649713926) is an individual adult health provider in West Haven, Connecticut, licensed in Connecticut (6838) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649713926
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAROLINA ZOFIA DUDZIKCredential: APRN
Location Address687 CAMPBELL AVEWest Haven, CT 06516-3774
Mailing Address34 Park StNew Haven, CT 06519-1109 · (203) 974-7313
Phone(203) 932-6481
Fax(203) 932-4051
Sole ProprietorNo
Enumeration DateNovember 18, 2016
Last NPPES UpdateOctober 1, 20203 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1649713926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 6838
Also ListedNurse PractitionerTaxonomy 363L00000X · License 12.006838 (CT)
687 CAMPBELL AVE, West Haven, CT 06516
Open in Google Maps ↗

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)

Karolina Zofia Dudzik 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

4

Medicare enrollment records show Karolina Dudzik reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Connecticut
2.1 mi
Psychiatric Hospital
34 PARK STREET
New Haven, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1720013360 (Connecticut)
  • 127 clinicians in this Medicare group
NPI 1881629434 (203) 974-7417
Sunrise Psychological Services LLC
16 mi
Psychologist
25 ROYAL CREST DR
Prospect, CT 06712
  • Reassigned Medicare billing, Connecticut enrollment
  • 75 clinicians in this Medicare group
NPI 1699199869 (845) 826-0060
Step Up Care PC LLC
67 mi
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1154884740 (718) 298-4375
Grow Healthcare Group PA
1,146 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut enrollment
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 06516 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.92
Improvement Activities40
Cost69.88

Other Providers at the Same Location NPPES 20

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

OLUTOYIN ADESOLA APRN
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
ODETH ALICIA HYLTON APRN
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
NEELAM NARULA NP
Nurse Practitioner (Family)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
MRS. JOYAMMA MATHEW
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
JANICE M. THOMPSON APRN
Nurse Practitioner (Adult Health)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
KUMUDHINI FERNANDO M.D.
Family Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
MRS. LISA S. ALEXANDER NP
Nurse Practitioner (Acute Care)
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481
DR. EDWARD PRIOR M.D.
Internal Medicine
687 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-6481

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 Karolina Dudzik's NPI number?

The NPI number for Karolina Dudzik is 1649713926. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Karolina Dudzik located?

Karolina Dudzik practices at 687 Campbell Ave, West Haven, CT 06516. The listed phone number is (203) 932-6481.

What is Karolina Dudzik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karolina Dudzik enrolled in Medicare?

Yes. Karolina Dudzik is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karolina Dudzik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karolina Dudzik reassigns Medicare benefits to 4 organizations: State Of Connecticut (New Haven, CT), Sunrise Psychological Services LLC (Prospect, CT), Step Up Care PC LLC (Danielson, CT) and Grow Healthcare Group PA (Miami, FL). 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 Karolina Dudzik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karolina Dudzik accept?

Health plans from Anthem Blue Cross and Blue Shield list Karolina Dudzik 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 Karolina Dudzik was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.