Individual provider Active NPI

Jill E. Moorcroft, D.O.

  • Family Medicine Physician
  • Hebron, CT
National Provider Identifier
1336325596
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047425 Issued in CT
Practice address
27 Main St
Hebron, CT 06248-1514
Phone
(860) 438-7096
Fax
(860) 438-7134
NPI assigned
Jan 17, 2008
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047425 CT Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 1, 2011 through Sep 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
047425CTMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1336325596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14193 N COUNCIL FIRE TRL",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840365542",
            "telephone_number": "860-438-7096",
            "fax_number": "860-438-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481514",
            "telephone_number": "860-438-7096",
            "fax_number": "860-438-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORCROFT",
        "first_name": "JILL",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "047425",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

Verify at the official NPI Registry.