Jill E. Moorcroft, D.O.

Individual provider Active NPI Family Medicine Physician · Hebron, CT

NPI 1336325596 · NPPES record last updated Nov 18, 2025

Key facts

NPI
1336325596
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
047425 (CT)
Practice address
27 Main St
Hebron, CT 06248-1514
Phone
(860) 438-7096
Fax
(860) 438-7134
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Opted out of Medicare
Yes, effective Sep 1, 2011 through Sep 1, 2027

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
047425CTMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047425 CT Yes
Student in an Organized Health Care Education/Training Program 390200000X CT

Addresses

Primary practice location

27 Main St
Hebron, CT 06248-1514

Mailing address

14193 N Council Fire TRL
Kamas, UT 84036-5542
Phone (860) 438-7096

Other providers in Hebron, CT

All providers in Hebron, CT · Family Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.