Active NPI
Jennifer L Nelson, APRN
- Adult Health Nurse Practitioner
- Oxford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3304
- Practice address
- 220 Main St Ste 1a
Oxford, CT 06478-1065 - Phone
- (203) 888-5527
- Fax
- (203) 888-3727
- NPI assigned
- Dec 28, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3304 | CT | Primary |
| Registered Nurse | 163W00000X | 3304 | CT | |
| Family Nurse Practitioner | 363LF0000X | 003304 | CT |
Addresses
Primary practice location
220 Main St Ste 1a
Oxford, CT 06478-1065
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-7325
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
220 Main St
Suite 1a
Oxford, CT 06478-1065
Phone (203) 888-5527
Hospital & facility affiliations
- Griffin Hospital
- Yale-New Haven Hospital
- Waterbury Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3304 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Griffin Faculty Physicians, Inc. | Adult Health | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Yale University | Past | Accepting new patients |
Locations
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
130 Division St
Derby, CT 06418
Phone (203) 732-1330
5 Durham Rd
Ste C2
Guilford, CT 06437
Phone (203) 488-4334
111 Goose Ln
Ste 2400
Guilford, CT 06437
Phone (203) 458-2097
9 Washington Ave
Ste 3A
Hamden, CT 06518
Phone (475) 227-3614
131 Bridge St
Naugatuck, CT 06770
Phone (203) 729-0755
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
220 Main St
Ste 1A
Oxford, CT 06478
Phone (203) 888-5527
12 Lathrop Rd
Plainfield, CT 06374
Phone (860) 457-9150
4 Corporate Dr
Ste 283
Shelton, CT 06484
Phone (203) 773-3055
2 Ivy Brook Rd
Ste 120
Shelton, CT 06484
Phone (203) 513-2642
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
863 N Main Street Ext
Ste 101
Wallingford, CT 06492
Phone (203) 269-3791
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- jennifer.nelson@xdr.hhchealthdirect.org
- jennifer.nelson.1@1323.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Derby, CT
- NPI 1598755605
Adult Health
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Health Service Clinic/Center
- New Haven, CT
- NPI 1093862740
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1164409587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 MAPLE AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181328",
"telephone_number": "203-732-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MAIN ST STE 1A",
"city": "OXFORD",
"state": "CT",
"postal_code": "064781065",
"telephone_number": "203-888-5527",
"fax_number": "203-888-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "3304",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "3304",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "003304",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.