Individual provider Active NPI

Jessica Lee Adelman, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1023485208
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12.006576 Issued in CT
Practice address
51 Gillett St
Hartford, CT 06105-2636
Phone
(860) 778-6814
NPI assigned
Aug 24, 2015
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.006576 CT Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 10.121925 CT

Addresses

Primary practice location

51 Gillett St
Hartford, CT 06105-2636

Mailing address

8 Quentin St
Hamden, CT 06517-2321
Phone (860) 778-6814

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
I20170509001354 CT Practitioner - Nurse Practitioner 5799062386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Wellness LLCGroup PAC ID 6204351810, 8 clinicians

Practice addresses (Care Compare)

300 Plaza Middlesex
Suite 2
Middletown, CT 06457-3456
Phone (860) 975-7455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10.121925CTMDPsychiatric/Mental Health Registered Nurse
12.006576CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Wellness LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

388 E Main St
Ste 2
Branford, CT 06405

300 Plaza Middlesex
Ste 2
Middletown, CT 06457
Phone (860) 346-6020

Interoperability endpoints

  • Direct secure messaging: jessica.angle.p1@direct.wheelerclinic.nextgenshare.com
  • Direct secure messaging: serenitywellness.jessicaadelman@137036.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1023485208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 QUENTIN ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172321",
            "telephone_number": "860-778-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GILLETT ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052636",
            "telephone_number": "860-778-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.006576",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10.121925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.