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

Christopher George Kaczegowicz

Individual provider Registered Nurse · NPI 1063233591

Christopher George Kaczegowicz is a Nurse Practitioner in Middletown, Connecticut. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1586 Country Club Rd
Middletown, CT 06457-2343
Phone: (203) 400-5390
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 14966 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 181598 (CT)

Record details

NPI number1063233591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2024
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address1586 Country Club Rd, Middletown, CT 06457-2343

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Middletown