Active NPI
Jacqueline Glanfield, PA-C
- Physician Assistant
- Pennington, NJ
National Provider Identifier
1194378505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6013
- Practice address
- 1 Capital Way
Pennington, NJ 08534-2520 - Phone
- (609) 537-6000
- NPI assigned
- Jul 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6013 | CT | Primary |
Addresses
Primary practice location
1 Capital Way
Pennington, NJ 08534-2520
Mailing address
3 Peter Gamble LN
Glen Mills, PA 19342-1230
Phone (610) 787-2579
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-8083
Phone (860) 679-8080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jglanfield101934@direct.med.uchc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, WY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6013 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Northeast Medical Group Inc | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Current | Accepting new patients |
Locations
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622
1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221
Organizations & group practices 6
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.
-
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-
- Surgery Physician
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- NPI 1083072342
-
- Multi-Specialty Clinic/Center
- Casper, WY
- NPI 1063778728
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Multi-Specialty Clinic/Center
- Ogallala, NE
- NPI 1154687812
-
- Radiation Oncology Physician
- Greenwich, CT
- NPI 1821390626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1194378505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PETER GAMBLE LN",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421230",
"telephone_number": "610-787-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342520",
"telephone_number": "609-537-6000"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060308083",
"country_code": "US",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLANFIELD",
"first_name": "JACQUELINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "6013",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jglanfield101934@direct.med.uchc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060308083",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.