Individual provider Active NPI

Jessica Valsamis

  • Family Nurse Practitioner
  • Brookfield, CT
National Provider Identifier
1306252291
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5778 Issued in CT
Practice address
31 Old Route 7
Brookfield, CT 06804-1711
Phone
(475) 253-2599
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 351038 NY
Family Nurse Practitioner 363LF0000X RN2351030 MA
Family Nurse Practitioner 363LF0000X 5778 CT Primary

Addresses

Primary practice location

31 Old Route 7
Brookfield, CT 06804-1711

Mailing address

323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone (203) 671-1946

Other practice location 1

80 Route 6 Ste 704-705
Baldwin Place, NY 10505-1026
Phone (475) 253-2599

Other practice location 2

55 Hazard Ave
Enfield, CT 06082-3826
Phone (475) 253-2599

Other practice location 3

530 Lytton Ave Fl 2
Palo Alto, CA 94301-1541
Phone (415) 663-5584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141008002156 CT Practitioner - Nurse Practitioner 5294955563 Reassigns benefits to 1 organization
I20250311000952 NY Practitioner - Nurse Practitioner 5294955563

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Atlantic Ave
FL 2
Lynbrook, NY 11563-3046

PO Box
Suite 1339
Glastonbury, CT 06033-6339

PO Box
Suite 415126
Boston, MA 02241-5126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5778CTMDOccupational Therapist
RN2351030MAMDFamily Nurse Practitioner
351038NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 1, 2017 Accepting new patients
WRK Ventures, LLC Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

194 Howard St
New London, CT 06320
Phone (860) 442-0564

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: vjessica340605@direct.ynhh.org
  • Direct secure messaging: jessica.valsamis.1@30093.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1306252291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CROMWELL AVE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671801",
            "telephone_number": "203-671-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "475-253-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Route 6 Ste 704-705",
            "address_purpose": "LOCATION",
            "city": "Baldwin Place",
            "state": "NY",
            "postal_code": "105051026",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823826",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Lytton Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943011541",
            "country_code": "US",
            "telephone_number": "415-663-5584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALSAMIS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2351030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.