Jeannie Virginia Pasacreta, APRN, PHD

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

001359 Issued in CT

Practice address

4 Abbey LN
Newtown, CT 06470-2784

Phone

(203) 270-0080

Fax

(203) 304-1191

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Nurse Specialist, Doctor of Philosophy

State licenses

Practice roles

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.

• Integrated Mental Health Services

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  • NPI 1497402317
  NPD (past) Authorized official
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1235186255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ABBEY LN",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702784",
            "telephone_number": "203-270-0080",
            "fax_number": "203-304-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ABBEY LN",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702784",
            "telephone_number": "203-270-0080",
            "fax_number": "203-304-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASACRETA",
        "first_name": "JEANNIE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "APRN, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004253738",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Ondieki
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• Flora Parvin, MD
• Archita A Patel, PA-C
• Pathways Counseling, LLC
• Paul R & Stephanie K Berry Dba Physical Therapy Consultants
• Paul R Berry
• Jason Ramos Pereira

• All providers in Newtown, CT
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.