Jennifer M Hagberg, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7288 Issued in CT

Practice address

4200 Main St
Bridgeport, CT 06606-2303

Phone

(203) 916-5151

Fax

(203) 916-5155

NPI assigned

Oct 12, 2017

Last updated

Jan 22, 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 2

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, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

85.61

Promoting interoperability

100

Improvement activities

40

Cost

46.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Afc Physicians of Connecticut, PC

  • Urgent Care Clinic/Center
  • Danbury, CT
  • NPI 1003152984
  Medicare reassignment NPD
• Emergency Physicians of Connecticut PC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1902278906

  Nurse Practitioner

  Medicare reassignment NPD
• Hartford Healthcare Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Avon, CT
  • NPI 1093239683
  Medicare reassignment NPD
• Nes Medical Services of Northern Connecticut, P.C.

  • Emergency Medicine Physician
  • Putnam, CT
  • NPI 1447231865
  Medicare reassignment NPD
• QMG2,LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Fairfield, CT
  • NPI 1437546363
  Medicare reassignment NPD
• QMG3, LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Shelton, CT
  • NPI 1053856039
  Medicare reassignment NPD
• QMG4, LLC

  dba AFC Urgent Care

  • Family Medicine Physician
  • Bridgeport, CT
  • NPI 1023471299
  Medicare reassignment NPD
• Quentin Medical Group, LLC

  • Urgent Care Clinic/Center
  • Bridgeport, CT
  • NPI 1487087250
  Medicare reassignment NPD
• Afc Physicians of Connecticut, PC

  dba AFC Urgent Care

  • 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

  dba Urgent Care of Southbury

  • Urgent Care Clinic/Center
  • Southbury, CT
  • NPI 1194993980
  NPD (past)

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

{
    "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": []
}

• 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

• Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.