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

Kettly Cassamajor

Individual provider Family Nurse Practitioner · NPI 1235660267

Kettly Cassamajor is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2016, 10 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2017
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Practice location Address checks out

4920 Main St Ste 302
Bridgeport, CT 06606-1300
Phone: (475) 210-4960
Fax: (203) 371-0542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12.006973 (CT)

Record details

NPI number1235660267
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address1290 Silas Deane Hwy, Hartford Healthcare-Cvo, Wethersfield, CT 06109-4337

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bridgeport