Active NPI
Jacqueline Sanz, P.A.
- Physician Assistant
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001836
- Practice address
- 1 Brewster Road
Bristol, CT 06010-5142 - Phone
- (860) 585-3000
- Fax
- (860) 585-3907
- NPI assigned
- Mar 23, 2007
- 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 | 001836 | CT | Primary |
Addresses
Primary practice location
1 Brewster Road
Bristol, CT 06010-5142
Mailing address
85 Seymour St Ste 125B
Hartford, CT 06106-5501
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
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Oxford Rd
Oxford, CT 06478-1990
Phone (203) 888-9940
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695
85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001836 | CT | MD | Professional Counselor |
| 1836 | CT | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
| QMG7,LLC | Past | Accepting new patients | |
| Bristol Hospital Clinicians, P.C. | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
85 Seymour St
Ste 125B
Hartford, CT 06106
Phone (860) 263-4100
199 Cherry St
Milford, CT 06460
Phone (203) 874-2543
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
100 Oxford Rd
Ste 2
Oxford, CT 06478
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- jaqueline.sanz@xdr.hhchealthdirect.org
Organizations & group practices 8
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Physician Assistant
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
-
- Family Medicine Physician
- Bridgeport, CT
- NPI 1023471299
-
- Urgent Care Clinic/Center
- Trumbull, CT
- NPI 1386233344
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Cardiovascular Disease Physician
- Bristol, CT
- NPI 1528017159
-
- Urgent Care Clinic/Center
- New Haven, CT
- NPI 1487367199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1194842336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST STE 125B",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BREWSTER ROAD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105142",
"telephone_number": "860-585-3000",
"fax_number": "860-585-3907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANZ",
"first_name": "JACQUELINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.