Individual provider Active NPI

Jessica Marie Christoff, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1285075788
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
005395 Issued in CT
Practice address
270 Farmington Ave Ste 309
Farmington, CT 06032-1953
Phone
(860) 677-5570
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5395 CT
Nurse Practitioner 363L00000X R231776-2 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 005395 CT Primary

Addresses

Primary practice location

270 Farmington Ave Ste 309
Farmington, CT 06032-1953

Mailing address

23 Brown St
Apt 2R
New Haven, CT 06511-5748
Phone (203) 308-1861

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
I20130930000122 CT Practitioner - Nurse Practitioner 4486888732 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Healthcare LLCGroup PAC ID 9931276979, 72 clinicians

Practice addresses (Care Compare)

21 Waterville Rd
Avon, CT 06001-2097
Phone (860) 284-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005395CTMDClinical Social Worker
R231776-2MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Healthcare LLC Nurse Practitioner CurrentSince Aug 14, 2017 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Aug 16, 2013 Accepting new patients
Connecticut Mental Health Specialists Inc Psychiatric/Mental Health CurrentSince Aug 29, 2016 Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

Organizations & group practices 4

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1285075788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BROWN ST",
            "address_2": "APT 2R",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115748",
            "telephone_number": "203-308-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE STE 309",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321953",
            "telephone_number": "860-677-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOFF",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5395",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R231776-2",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "005395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.