Individual provider Active NPI

Jennifer Remigio Mandac, APRN

  • Family Nurse Practitioner
  • Shelton, CT
National Provider Identifier
1285809319
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
003749 Issued in CT
Practice address
10 Progress Drive Suite 200
NP Care LLC
Shelton, CT 06484-6216
Phone
(203) 925-9600
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 003749 CT Primary

Addresses

Primary practice location

10 Progress Drive Suite 200
NP Care LLC
Shelton, CT 06484-6216

Mailing address

25 Hidden Pines Cir
Meriden, CT 06451-2212
Phone (203) 634-1470

Other practice location 1

157 Church St Fl 19
New Haven, CT 06510-2100
Phone (866) 949-0108

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
I20080610000431 CT Practitioner - Nurse Practitioner 5597835041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Crown St
Meriden, CT 06450-6484
Phone (203) 535-9741

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003749CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Care, LLC Past Accepting new patients
NP Care, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_jremigio@landmarkhealth-direct.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1285809319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIDDEN PINES CIR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512212",
            "telephone_number": "203-634-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PROGRESS DRIVE SUITE 200",
            "address_2": "NP CARE LLC",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846216",
            "telephone_number": "203-925-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Church St Fl 19",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102100",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMIGIO MANDAC",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.