Jacqueline Spano, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

003535 Issued in CT

Practice address

1 Hawley LN
Stratford, CT 06614-1200

Phone

(203) 383-7735

Fax

(203) 375-0878

NPI assigned

Feb 2, 2007

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.34 of 100Reported as group

Quality

82.53

Improvement activities

40

Cost

86.49

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• MC Diagnostic of Connecticut, P.C.

  • Family Nurse Practitioner
  • Rocky Hill, CT
  • NPI 1386821932
  Medicare reassignment Care Compare group NPD
• Minuteclinic Primary Care Connecticut PLLC

  • Family Nurse Practitioner
  • Rocky Hill, CT
  • NPI 1548076086
  Medicare reassignment NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1083752893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141200",
            "telephone_number": "203-383-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141200",
            "telephone_number": "203-383-7735",
            "fax_number": "203-375-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANO",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Soto, LCSW
• Elise Soulier, MS,OTR/L
• Southern Connecticut Vascular Center, LLC (The Vascular Experts)
• Southwest Trauma Informed Integrated Care LLC
• Jyll Robin Herzog Souto, LCSW
• Dailene Spencer, LCSW
• Shanique Spencer
• Grindel Spinks
• Subasree Srinivasan, M.D.
• St. Vincent's Multispecialty Group

• Family Nurse Practitioner in Stratford, CT
• Providers in Stratford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.

Verify at the official NPI Registry.