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KELLY KOUZELIS APRN
NPI 1730864729
Nurse Practitioner in North Haven, CT

Active since June 19, 2023PECOS Enrolled
6 DEVINE ST, NORTH HAVEN, CT 06473(203) 495-2410 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Jun 19, 2023 (2 updates tracked since 2023).

About Kelly Kouzelis Aprn NPPES

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

KELLY KOUZELIS APRN (NPI 1730864729) is an individual nurse practitioner in North Haven, Connecticut, licensed in Connecticut (12219) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730864729
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY KOUZELISCredential: APRN
Location Address6 DEVINE STNorth Haven, CT 06473-2195
Mailing Address6 Devine StNorth Haven, CT 06473-2195 · (203) 495-2410
Phone(203) 495-2410
Sole ProprietorNo
Enumeration DateJune 19, 2023
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1730864729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 12219
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 140534 (CT)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 12219 (CT)
6 DEVINE ST, North Haven, CT 06473
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kouzelis 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

2

Medicare enrollment records show Kelly Kouzelis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
3.6 mi
Adult Mental Health
95 CIRCULAR AVE
Hamden, CT 06514
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1134391824 (203) 288-6253
Molina Care Connections, LLC.
2,513 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Connecticut enrollment
  • 86 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

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 06473 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.

DR. SCOTT BOURRET
Pharmacist (Oncology)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6222
DR. JHEISON GIRALDO MD
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
ERICA STEVENS
Nurse Practitioner (Family)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 407-8002
ALEXANDER ROBERT GHINCEA MD
Internal Medicine (Pulmonary Disease)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 495-2410
GABRIELA RESTO
Pharmacist
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 230-3940
ALBERT WU
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
DR. JUNGHEE JENNY SHIN M.D.,PH.D
Allergy & Immunology
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
DR. ERIN LONGBRAKE MD
Psychiatry & Neurology (Neurology)
6 DEVINE ST, SUITE 2B
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6100

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 Kelly Kouzelis's NPI number?

The NPI number for Kelly Kouzelis is 1730864729. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Kelly Kouzelis located?

Kelly Kouzelis practices at 6 Devine St, North Haven, CT 06473. The listed phone number is (203) 495-2410.

What is Kelly Kouzelis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Kouzelis enrolled in Medicare?

Yes. Kelly Kouzelis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Kouzelis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kouzelis reassigns Medicare benefits to 2 organizations: Yale University (Hamden, CT) and Molina Care Connections, LLC. (Long Beach, CA). 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 Kelly Kouzelis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Kouzelis was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.