CASSANDRA WATERBURY APRN
NPI 1760357099
Nurse Practitioner - Psychiatric/Mental Health in New London, CT

Active since October 07, 2025PECOS EnrolledAccepts Medicare Assignment
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 975-7277 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 22, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Cassandra Waterbury Aprn NPPES

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

CASSANDRA WATERBURY APRN (NPI 1760357099) is an individual psychiatric/mental health provider in New London, Connecticut, licensed in Connecticut (12.015435) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2025).

NPPES Registry Identity

NPI1760357099
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCASSANDRA WATERBURYCredential: APRN
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing Address33 Plains RdHaddam, CT 06438-1232 · (860) 975-7277
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2025
Enumeration DateOctober 7, 2025
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1760357099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 12.015435
21 MONTAUK AVE, New London, CT 06320

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Waterbury 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 ID9335634195
PECOS Enrollment IDI20251218003196
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 Reassignment

Medicare enrollment records show Cassandra Waterbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
21 MONTAUK AVENUE
New London, CT 06320
  • Reassigned Medicare billing, Connecticut enrollment
  • 12 clinicians in this Medicare group

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 06320 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.

Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320

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 Cassandra Waterbury's NPI number?

The NPI number for Cassandra Waterbury is 1760357099. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Cassandra Waterbury located?

Cassandra Waterbury practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 975-7277.

What is Cassandra Waterbury's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cassandra Waterbury enrolled in Medicare?

Yes. Cassandra Waterbury 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.

Which organization bills Medicare for Cassandra Waterbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Waterbury reassigns Medicare benefits to Sound Community Services, Inc. (New London, CT). The 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 Cassandra Waterbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassandra Waterbury accept?

Health plans from Anthem Blue Cross and Blue Shield list Cassandra Waterbury 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 Cassandra Waterbury was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.