Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Marie Marcello

Individual provider Certified Registered Nurse Anesthetist · NPI 1083403489

Alexandra Marie Marcello is a Certified Registered Nurse Anesthetist (CRNA) in Middletown, Connecticut. Qualified in 2025, 1 year ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
1
Licensed in
CT, NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1222 Town Colony Dr
Middletown, CT 06457-5927
Phone: (516) 492-1807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 754344 (NY)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 202914 (CT)

Record details

NPI number1083403489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address1811 Frederick Ave, Merrick, NY 11566-2911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown