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STEPHANIE GESUALDI
NPI 1790659977
Nurse Practitioner - Family in Bridgeport, CT

Active since October 01, 2025PECOS Enrolled
4697 MAIN ST, BRIDGEPORT, CT 06606(203) 366-0664 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Gesualdi NPPES

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

STEPHANIE GESUALDI (NPI 1790659977) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (15482) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790659977
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE GESUALDI
Location Address4697 MAIN STBridgeport, CT 06606-1869
Mailing Address35 Barney StRumford, RI 02916-1201 · (203) 710-2304
Phone(203) 366-0664
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1790659977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 15482
4697 MAIN ST, Bridgeport, CT 06606
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Other Names 1

Former Name (1)Stephanie Holda

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Gesualdi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305316951
PECOS Enrollment IDI20260526001029
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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 8

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

VALERIA MCINNIS FNP-BC
Nurse Practitioner (Family)
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 366-0664
A WINNING SMILE LLC
Dentist (General Practice)
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-3626
CARE INTEGRATIVE INTERNAL MEDICINE, LLC
Health Maintenance Organization
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 386-0001
DR. ELLEN LYNN KARANDISECKY D.D.S.
Dentist (General Practice)
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-3626
DR. LARRY ISAAC GOTTLIEB DDS
Dentist (General Practice)
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-1027
ANDREW R HERZOG MD
Obstetrics & Gynecology
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-6777
MISS EMILY DILTHEY CNM
Advanced Practice Midwife
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 366-0664
DAVID E. CIANCIMINO MD
Psychiatry & Neurology (Psychiatry)
4697 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-5695

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 Stephanie Gesualdi's NPI number?

The NPI number for Stephanie Gesualdi is 1790659977. It was assigned to this individual provider in the NPPES registry on October 1, 2025. The provider is also known as Stephanie Holda.

Where is Stephanie Gesualdi located?

Stephanie Gesualdi practices at 4697 Main St, Bridgeport, CT 06606. The listed phone number is (203) 366-0664.

What is Stephanie Gesualdi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Gesualdi enrolled in Medicare?

Yes. Stephanie Gesualdi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Gesualdi was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.