Individual provider Active NPI

Jennifer Araujo Burns, APRN

  • Family Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1144483355
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10737 Issued in CT
Practice address
675 Main St
Middletown, CT 06457-2732
Phone
(860) 347-6971
Fax
(860) 343-7379
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007569 CT
Family Nurse Practitioner 363LF0000X 10737 CT Primary

Addresses

Primary practice location

675 Main St
Middletown, CT 06457-2732

Mailing address

150 Fairview Ter
South Glastonbury, CT 06073-3304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 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
I20110505000108 CT Practitioner - Clinical Social Worker 7719162874 Reassigns benefits to 1 organization
I20241021000407 CT Practitioner - Nurse Practitioner 7719162874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

Practice addresses (Care Compare)

110 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359263

265 Ellington Rd
East Hartford, CT 06108-1176
Phone (860) 610-6191

809 Main St
East Hartford, CT 06108-3142
Phone (860) 610-6131

92 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359129

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
007569CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc Clinical Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 16, 2024 Accepting new patients
First Choice Health Centers, Inc. Current Accepting new patients
Community Health Center Inc CurrentSince Mar 1, 2024 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 16, 2024 Accepting new patients

Locations

114 E Main St
Clinton, CT 06413
Phone (860) 664-0787

809 Main St
East Hartford, CT 06108
Phone (203) 788-1479

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1144483355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FAIRVIEW TER",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060733304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572732",
            "telephone_number": "860-347-6971",
            "fax_number": "860-343-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JENNIFER",
        "middle_name": "ARAUJO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007569",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.