Individual provider Active NPI

Jennie Miriam Spiegel, FNP-C

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1003668864
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13232 Issued in CT
Practice address
260 Long Ridge Rd
Stamford, CT 06902-1638
Phone
(475) 619-6035
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 101167 CT
Family Nurse Practitioner 363LF0000X 13232 CT Primary

Addresses

Primary practice location

260 Long Ridge Rd
Stamford, CT 06902-1638

Mailing address

95 Morgan St Apt 3a
Stamford, CT 06905-5458
Phone (860) 966-5517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524002123 CT Practitioner - Nurse Practitioner 9537501358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Physiatry Services CT PLLCGroup PAC ID 9436678661, 9 clinicians

Practice addresses (Care Compare)

992 Cooke St
Waterbury, CT 06704-1912
Phone (877) 544-4446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13232CTMDClinical Social Worker
101167CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jun 24, 2024 Accepting new patients
Northeast Medical Group Inc CurrentSince Jun 24, 2024 Accepting new patients
Matrix Medical Plus CurrentSince Sep 1, 2025 Accepting new patients
SNF Physiatry Services CT PLLC CurrentSince Feb 19, 2026 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

260 Long Ridge Rd
Stamford, CT 06902
Phone (203) 863-3000

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

992 Cooke St
Waterbury, CT 06704

185 Route 70
Ste 302
Toms River, NJ 08755
Phone 7328130799105

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1003668864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MORGAN ST APT 3A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055458",
            "telephone_number": "860-966-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021638",
            "telephone_number": "475-619-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "JENNIE",
        "middle_name": "MIRIAM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "101167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.