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

Kellie Buccetti

Individual provider Acute Care Nurse Practitioner · NPI 1114774155

Kellie Buccetti is a Nurse Practitioner in Hartford, Connecticut. Qualified in 2024, 2 years ago. Practices with Complete Wound Care LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

80 Seymour St
Hartford, CT 06106-3315
Phone: (203) 710-3992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 13699 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114774155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address5 Susan Dr, Wallingford, CT 06492-1939

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Complete Wound Care Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Hartford