Active NPI
Jessica Lee Adelman, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hartford, CT
National Provider Identifier
1023485208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 12.006576
- Practice address
- 51 Gillett St
Hartford, CT 06105-2636 - Phone
- (860) 778-6814
- NPI assigned
- Aug 24, 2015
- Last updated
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10.121925 | CT | MD | Psychiatric/Mental Health Registered Nurse |
| 12.006576 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Wellness LLC | Current | 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
- jessica.angle.p1@direct.wheelerclinic.nextgenshare.com
- 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.
-
- Community/Behavioral Health Agency
- Middletown, CT
- NPI 1396264313
-
- Psychiatric/Mental Health Nurse Practitioner
- Hartford, CT
- NPI 1295374668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.