Caitlin Patricia Soucy

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004764 Issued in CT

Practice address

47 Jolley Dr
Bloomfield, CT 06002-3092

Phone

(860) 243-3020

NPI assigned

Jun 11, 2019

Last updated

Aug 13, 2024By the provider in NPPES

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

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

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer W Pennoyer MD LLCGroup PAC ID 4789605023, 3 clinicians

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

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: caitlin.soucy@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.

• Jennifer W Pennoyer MD LLC

  • Dermatology Physician
  • Bloomfield, CT
  • NPI 1841254653
  Medicare reassignment Care Compare group
• Hartford Healthcare Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Avon, CT
  • NPI 1093239683
  Medicare reassignment

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1255990578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OLD MEADOW PLAIN RD",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899771",
            "telephone_number": "860-371-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 JOLLEY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023092",
            "telephone_number": "860-243-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 W Main St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014357",
            "country_code": "US",
            "telephone_number": "860-777-1280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Old Meadow Plain Rd",
            "address_purpose": "LOCATION",
            "city": "Weatogue",
            "state": "CT",
            "postal_code": "060899771",
            "country_code": "US",
            "telephone_number": "860-371-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "CAITLIN",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "004764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Smith
• Vanity Smith
• G Gordon Snyder III, MD
• Satvinder Kaur Sodhi, O.D.
• Janetta Songorov, PA-C
• Soul Care Counseling LLC
• Soulspring Mindset LLC
• Sheri M. Sparks, OD
• Speaking Naturallee Therapy LLC
• Shimona R Spears, LMT, MMP

• Medical Physician Assistant in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.