Jennifer M Hagberg, NP-C

Key facts

NPI

1194236547

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

7288 (CT)

Practice address

4200 Main St
Bridgeport, CT 06606-2303

Phone

(203) 916-5151

Fax

(203) 916-5155

NPI assigned

Oct 12, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 12

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.

• Afc Physicians of Connecticut, PC Urgent Care Clinic/Center · Danbury, CT · NPI 1003152984
  Medicare reassignment NPD CT
• Emergency Physicians of Connecticut PC Emergency Medicine Physician · Waterbury, CT · NPI 1902278906
  Medicare reassignment NPD CT · NURSE PRACTITIONER
• Hartford Healthcare Urgent Care Centers, LLC Urgent Care Clinic/Center · Avon, CT · NPI 1093239683
  Medicare reassignment NPD CT
• Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine Physician · Putnam, CT · NPI 1447231865
  Medicare reassignment NPD CT
• QMG2,LLC Urgent Care Clinic/Center · Fairfield, CT · NPI 1437546363
  Medicare reassignment NPD CT
• QMG3, LLC Urgent Care Clinic/Center · Shelton, CT · NPI 1053856039
  Medicare reassignment NPD CT
• QMG4, LLC Family Medicine Physician · Bridgeport, CT · NPI 1023471299
  Medicare reassignment NPD CT
• Quentin Medical Group, LLC Urgent Care Clinic/Center · Bridgeport, CT · NPI 1487087250
  Medicare reassignment NPD CT
• Afc Physicians of Connecticut, PC Urgent Care Clinic/Center · Rocky Hill, CT · NPI 1285387530
  NPD
• Afc Physicians of Connecticut, PC Urgent Care Clinic/Center · Danbury, CT · NPI 1396276960
  NPD
• Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine Physician · Stafford Springs, CT · NPI 1194450478
  NPD
• WRK Ventures, LLC Urgent Care Clinic/Center · Southbury, CT · NPI 1194993980
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100 (group)

Quality

85.61

Promoting interoperability

100

Improvement activities

40

Cost

46.45

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.hagberg@xdr.hhchealthdirect.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 22, 2019.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1194236547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062303",
            "telephone_number": "203-916-5151",
            "fax_number": "203-916-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062303",
            "telephone_number": "203-916-5151",
            "fax_number": "203-916-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGBERG",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7288",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

• James Michael Haddon, DNP, PMHNP-BC
• Marcela Haendler, LPC
• Kelly Nicole Hafers, PA-C
• Maimoona B Haffees
• Andrea B Hagani, M.D.
• Pierre Hage, MD
• George Allen Hagman, LCSW
• Rudolph Hagwood Jr.
• Salman Haider, M.D.
• Jerome C Hailey

All providers in Bridgeport, CT · Nurse Practitioner in Connecticut