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MR. NICOLA CALABRESE APRN
NPI 1700155603
Nurse Practitioner - Acute Care in Middletown, CT

Active since December 21, 2011PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
420 SAYBROOK RD, MIDDLETOWN, CT 06457(203) 678-1050(860) 636-2045 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicola Calabrese Aprn NPPES

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

MR. NICOLA CALABRESE APRN (NPI 1700155603) is an individual acute care provider in Middletown, Connecticut, licensed in Connecticut (004751) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1700155603
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. NICOLA CALABRESECredential: APRN
Location Address420 SAYBROOK RDMiddletown, CT 06457-4859
Mailing Address1290 Silas Deane Hwy, Hartford Healthcare-cvoWethersfield, CT 06109-4337
Phone(203) 678-1050
Fax(860) 636-2045
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 21, 2011
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1700155603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CT · 004751
420 SAYBROOK RD, Middletown, CT 06457
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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

Mr. Nicola Calabrese Aprn 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 ID2961676960
PECOS Enrollment IDI20111130000528
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services45 patients
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.
43 services36 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
26 services16 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
26 services13 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
25 services24 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.17
Promoting Interoperability100
Improvement Activities40
Cost65.22

Other Providers at the Same Location NPPES 17

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

JUDE F CLANCY MD
Internal Medicine (Clinical Cardiac Electrophysiology)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (203) 678-1050
STEPHEN M FRANKLIN MD
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD, MIDDLESEX CARDIOLOGY ASSOCIATES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4258
SAMANTHA GARABEDIAN APRN
Nurse Practitioner (Family)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (203) 678-1050
MIDDLESEX HEART INSTITUTE
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD, SUITE A
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4258
MANJU MARY JOHN
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD, SUITE A
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4258
DONNA MAE VALVA APRN
Nurse Practitioner
420 SAYBROOK RD, SUITE A
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4258
KRUPA MODI APRN
Nurse Practitioner (Family)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 636-2010
DR. SUBRAMANIAN KRISHNAN MD
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4258

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 Nicola Calabrese's NPI number?

The NPI number for Nicola Calabrese is 1700155603. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Where is Nicola Calabrese located?

Nicola Calabrese practices at 420 Saybrook Rd, Middletown, CT 06457. The listed phone number is (203) 678-1050.

What is Nicola Calabrese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicola Calabrese enrolled in Medicare?

Yes. Nicola Calabrese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicola Calabrese was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.