MARY BRAISTED RDN CDN
NPI 1831846203
Dietitian, Registered in Middletown, CT

Active since March 07, 2022Accepts Medicare Assignment
675 MAIN ST, MIDDLETOWN, CT 06457(860) 347-6971 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Braisted Rdn Cdn NPPES

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

MARY BRAISTED RDN CDN (NPI 1831846203) is an individual dietitian, registered in Middletown, Connecticut and active in the NPI registry since March 2022. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1831846203
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY BRAISTEDCredential: RDN CDN
Location Address675 MAIN STMiddletown, CT 06457-2732
Mailing Address180 Randolph RdMiddletown, CT 06457-5605
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1831846203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
675 MAIN ST, Middletown, CT 06457

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

Mary Braisted Rdn Cdn 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 ID7517318850
PECOS Enrollment IDI20240110004610

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
675 MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 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 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
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
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)
675 MAIN ST
MIDDLETOWN, CT 06457
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Registered Nurse
675 MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Marriage & Family Therapist
675 MAIN ST
MIDDLETOWN, CT 06457
Student in an Organized Health Care Education/Training Program
675 MAIN ST
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457

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 Mary Braisted's NPI number?

The NPI number for Mary Braisted is 1831846203. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Mary Braisted located?

Mary Braisted practices at 675 Main St, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Mary Braisted's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mary Braisted enrolled in Medicare?

Yes. Mary Braisted 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 Mary Braisted's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Braisted reassigns Medicare benefits to Community Health Center Inc (Middletown, 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 Mary Braisted's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Braisted accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Braisted 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 Mary Braisted was last updated on March 7, 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.