MRS. KATHERINE KELLY D'ANGELO (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609523430

MRS. KATHERINE KELLY D'ANGELO (APRN) is a healthcare provider. based in New haven, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 104098 (CT). The NPI Number for MRS. KATHERINE KELLY D'ANGELO (APRN) is 1609523430

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHERINE KELLY D'ANGELO (APRN)
NPI
1609523430
Phone
(037) 814-6002
Address
1 LONG WHARF DR STE 321
Enumeration Date
2 March 2022
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037814640
Graduation Year
2022 (4 years ago)
PAC ID
4880061993
Group Practice PAC ID
8729250204
Professional Enrollment ID
I20221102002446
Address ID
CT065115991NE1XXXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for MRS. KATHERINE KELLY D'ANGELO (APRN)

  • 1 LONG WHARF DR STE 321

    NEW HAVEN, CT 065115946

    Phone: (037) 814-6002

    Fax: (203) 781-4624

    Type: Mailing

  • 1 LONG WHARF DR

    NEW HAVEN, CT 065115991

    Phone: (203) 781-4600

    Fax: (203) 781-4624

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$42
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221102002446INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729250204View full group profile
NameSpecialtyState
Internal MedicineCT
Nurse PractitionerCT
P S Y C H I A T R YCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
Nurse PractitionerCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

Does MRS. KATHERINE KELLY D'ANGELO (APRN) have a public NPI I can cite?
Public records show MRS. KATHERINE KELLY D'ANGELO (APRN) under NPI 1609523430.
Should I treat MRS. KATHERINE KELLY D'ANGELO (APRN) as an active provider?
Patients and plans typically see MRS. KATHERINE KELLY D'ANGELO (APRN) as active in the national extract.
What does the directory say MRS. KATHERINE KELLY D'ANGELO (APRN) does?
Insurance directories may phrase it differently, but here MRS. KATHERINE KELLY D'ANGELO (APRN) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KATHERINE KELLY D'ANGELO (APRN)?
The directory associates MRS. KATHERINE KELLY D'ANGELO (APRN) with New Haven, Connecticut. Check all listed addresses for suites or satellite offices.
Who maintains MRS. KATHERINE KELLY D'ANGELO (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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