Individual provider Active NPI

Jennifer Lynn Trocola, AGACNP-BC, ACHPN

  • Acute Care Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1114417847
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
7375 Issued in CT
Practice address
63 Myano LN Apt 6
Stamford, CT 06902-4500
Phone
(845) 532-7548
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 7375 CT Primary

Addresses

Primary practice location

63 Myano LN Apt 6
Stamford, CT 06902-4500

Mailing address

63 Myano LN Apt 6
Stamford, CT 06902-4500
Phone (845) 532-7548

Other names 1

  • Miss Jennifer Lynn Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180830003034 CT Practitioner - Nurse Practitioner 6608126271 Reassigns benefits to 1 organization
I20190926000564 NY Practitioner - Nurse Practitioner 6608126271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians

Practice addresses (Care Compare)

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7375CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 7, 2019 Accepting new patients
Critical Care Physician of New York PC CurrentSince Aug 11, 2019 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jul 9, 2018 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

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

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

300 Community Dr
Plandome, NY 11030

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1114417847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MYANO LN APT 6",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024500",
            "telephone_number": "845-532-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MYANO LN APT 6",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024500",
            "telephone_number": "845-532-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCOLA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC, ACHPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "7375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "AGACNP-BC, ACHPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.