MARY CATHERINE D'AMICO APRN
NPI 1710312533
Nurse Practitioner - Adult Health in Danielson, CT

Q: What is Mary D'amico's NPI number?

The NPI number for Mary D'amico is 1710312533. It was assigned to this individual provider in the NPPES registry on September 11, 2013. The provider is also known as Mary Tebo.

Q: What is Mary D'amico's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary D'amico was last updated on April 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 11, 2013PECOS EnrolledAccepts Medicare Assignment

71 WESTCOTT RD, DANIELSON, CT 06239(860) 774-7179(860) 779-6526 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2019, Jul 27, 2017, Apr 27, 2017 and 1 more (4 updates tracked since 2017).

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About Mary Catherine D'amico Aprn NPPES

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

MARY CATHERINE D'AMICO APRN (NPI 1710312533) is an individual adult health provider in Danielson, Connecticut, licensed in Connecticut (5515) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Connecticut School Of Medicine (2013).

NPPES Registry Identity

NPI1710312533

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARY CATHERINE D'AMICOCredential: APRN

Location Address71 WESTCOTT RDDanielson, CT 06239-2929

Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1587 · (860) 731-5522 · Fax (860) 731-5536

Phone(860) 774-7179

Fax(860) 779-6526

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2013

Enumeration DateSeptember 11, 2013

Last NPPES UpdateApril 24, 20194 updates tracked since enumeration

✔ NPI 1710312533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CT · 5515

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 005515 (CT)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 005515 (CT)

71 WESTCOTT RD, Danielson, CT 06239

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Other Names 1

Former Name (1)Mary Tebo

Secondary Practice Locations 2

Location 1153 Hazard Ave Ste 401Enfield, CT 06082-4592 · Phone (860) 253-5020 · Fax (860) 253-5030

Location 2444 Center StManchester, CT 06040-3926 · Phone (860) 646-3888 · Fax (860) 731-5536

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

Mary Catherine D'amico 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 ID4981836905

PECOS Enrollment IDI20140407000163

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.

81 services54 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.

73 services60 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

23 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

21 services21 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

20 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06239 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 20

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

LISA SOULE

Counselor