CAMILLA DUTRA
NPI 1861163057
Nurse Practitioner - Family in Danbury, CT

Active since September 27, 2021PECOS EnrolledAccepts Medicare Assignment
79 SAND PIT RD STE 102, DANBURY, CT 06810(203) 749-5700 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2022, Dec 10, 2021, Oct 15, 2021 and 1 more (4 updates tracked since 2021).

About Camilla Dutra NPPES

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

CAMILLA DUTRA (NPI 1861163057) is an individual family provider in Danbury, Connecticut, licensed in Connecticut (10020) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861163057
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAMILLA DUTRA
Location Address79 SAND PIT RD STE 102Danbury, CT 06810-4010
Mailing Address79 Sand Pit RdDanbury, CT 06810-4005 · (203) 749-5700 · Fax (203) 830-8088
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 27, 2021
Last NPPES UpdateFebruary 14, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1861163057 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 · 10020
79 SAND PIT RD STE 102, Danbury, CT 06810

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

Camilla Dutra 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 ID4082005616
PECOS Enrollment IDI20211215001749
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 Camilla Dutra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

End-Stage Renal Disease (ESRD) Treatment
24 HOSPITAL AVE, NELSON GELFMAN, MD., DIALYSIS UNIT
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 155 clinicians in this Medicare group
Urgent Care
1312 W MAIN ST
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 19 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
133 services132 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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 5

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

Nurse Practitioner (Primary Care)
79 SAND PIT RD STE 102
DANBURY, CT 06810
Physician Assistant (Medical)
79 SAND PIT RD STE 102
DANBURY, CT 06810
Family Medicine
79 SAND PIT RD STE 102
DANBURY, CT 06810
Nurse Practitioner (Primary Care)
79 SAND PIT RD STE 102
DANBURY, CT 06810
Internal Medicine
79 SAND PIT RD STE 102
DANBURY, CT 06810

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 Camilla Dutra's NPI number?

The NPI number for Camilla Dutra is 1861163057. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Camilla Dutra located?

Camilla Dutra practices at 79 Sand Pit Rd Ste 102, Danbury, CT 06810. The listed phone number is (203) 749-5700.

What is Camilla Dutra's specialty?

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

Is Camilla Dutra enrolled in Medicare?

Yes. Camilla Dutra 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 organizations bill Medicare for Camilla Dutra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camilla Dutra reassigns Medicare benefits to 2 organizations: Danbury Hospital (Danbury, CT) and Trinity Health Of New England Urgent Care PLLC (Waterbury, CT). 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 Camilla Dutra'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 Camilla Dutra was last updated on February 14, 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.