Kelly Kouzelis, APRN in North Haven, CT - Medicare Nurse Practitioner

Kelly Kouzelis, APRN is a medicare enrolled "Nurse Practitioner" in North Haven, Connecticut. Her current practice location is 6 Devine St, North Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 495-2410.

Kelly Kouzelis is licensed to practice in Connecticut (license number 12219) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730864729.

Contact Information

	Kelly Kouzelis, APRN
	6 Devine St, North Haven, CT 06473-2195
	(203) 495-2410
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Kouzelis
Gender	Female
Speciality	Nurse Practitioner
Location	6 Devine St, North Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730864729
Provider Enumeration Date: 06/19/2023
Last Update Date: 09/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5991151110
Enrollment ID: I20231025000155

Medical Identifiers

Medical identifiers for Kelly Kouzelis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730864729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	140534 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	12219 (Connecticut)	Primary
363LA2100X	Nurse Practitioner - Acute Care	12219 (Connecticut)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Kouzelis allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Kouzelis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Kouzelis, APRN 6 Devine St, North Haven, CT 06473-2195 Ph: (203) 495-2410	Kelly Kouzelis, APRN 6 Devine St, North Haven, CT 06473-2195 Ph: (203) 495-2410

Reviews and Comments

Nurse Practitioner Nurses in North Haven, CT

Katherine Morrison, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Universal Dr N, North Haven, CT 06473 Phone: 203-200-7134
Sweata Patel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 163 Universal Dr N, North Haven, CT 06473 Phone: 203-466-8058
Mary K Peterson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 State St, North Haven, CT 06473 Phone: 203-248-8888 Fax: 860-621-5169
Katie Ann Sansone, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 52 Washington Ave Ste 4, North Haven, CT 06473 Phone: 203-444-6919
Maryam Oshomah, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1660 Ridge Rd, North Haven, CT 06473 Phone: 203-809-3663
Marci Panapada, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13 Peck St, North Haven, CT 06473 Phone: 203-239-4627 Fax: 203-234-8533
Molly Suydam, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4a Devine St, North Haven, CT 06473 Phone: 203-843-9010

Kelly Kouzelis, APRN - Medicare Nurse Practitioner in North Haven, CT