Individual provider Active NPI

Jacqueline Sanz, P.A.

  • Physician Assistant
  • Bristol, CT
National Provider Identifier
1194842336
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001836 Issued in CT
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

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071009000654 CT Practitioner - Physician Assistant 8224123013 Reassigns benefits to 5 organizations

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
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

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

LicenseStateTypeSpecialty
001836CTMDProfessional Counselor
1836CTMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 27, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jan 27, 2020 Accepting new patients
Hartford Healthcare Medical Group, Inc Physician Assistant CurrentSince Mar 14, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.