Jamie Dossantos, APRN – Nurse Practitioner

Key facts

NPI: 1063914232
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 7399 (CT)
Practice address: 39 Squantuck Rd
Seymour, CT 06483-2124
Phone: (203) 231-6909
NPI assigned: Mar 5, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Northeast Medical Group, Inc. Internal Medicine Physician · Bridgeport, CT · NPI 1043278351

Medicare reassignment Care Compare group NPD CT · NURSE PRACTITIONER

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Bridgeport Hospital General Acute Care Hospital · Bridgeport, CT · NPI 1649260845

Care Compare affiliation Hospital
Bridgeport Hospital General Acute Care Hospital · Bridgeport, CT · NPI 1992910152

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2017
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Northeast Medical Group Inc (1,357 clinicians)

Practice addresses (Care Compare)

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 301-6261

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Bridgeport Hospital Hospital · Bridgeport, CT · CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score: 100 of 100 (apm)
Quality: 86.54
Promoting interoperability: 99.98
Improvement activities: 40

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20181010001909	CT	Practitioner - Nurse Practitioner	4981956422	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Northeast Medical Group, Inc.	Nurse Practitioner	Current since Sep 1, 2018	Accepting new patients

Locations

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

112 Quarry Rd
Trumbull, CT 06611
Phone (203) 374-1515

Interoperability endpoints

Direct secure messaging: jdossantos14471@direct.ynhh.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	7399	CT	Yes

Addresses

Primary practice location

39 Squantuck Rd
Seymour, CT 06483-2124

Mailing address

39 Squantuck Rd
Seymour, CT 06483-2124
Phone (203) 231-6909

Other providers in Seymour, CT

All providers in Seymour, CT · Nurse Practitioner in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.