Individual provider Active NPI

Jennifer Elizabeth Baranowski, APRN, NP-C

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1336813393
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9816 Issued in CT
Practice address
44 Dale Rd
Avon, CT 06001-4315
Phone
(860) 674-8830
Fax
(860) 606-0098
NPI assigned
Aug 3, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9816 CT
Family Nurse Practitioner 363LF0000X 9816 CT Primary

Addresses

Primary practice location

44 Dale Rd
Avon, CT 06001-4315

Mailing address

17 Gaylord Dr
Rocky Hill, CT 06067-1401
Phone (860) 987-7461

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
I20210914003174 CT Practitioner - Nurse Practitioner 1052717162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

44 Dale Rd
Avon, CT 06001-4315
Phone (860) 674-8830

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9816CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Nurse Practitioner CurrentSince Aug 20, 2021 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Aug 20, 2021 Accepting new patients

Locations

44 Dale Rd
Avon, CT 06001
Phone (860) 674-8830

44 Dale Rd
Ste 204
Avon, CT 06001
Phone (860) 674-8830

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: jennifer.baranowski.1@31712.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1336813393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GAYLORD DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671401",
            "telephone_number": "860-987-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DALE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014315",
            "telephone_number": "860-674-8830",
            "fax_number": "860-606-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "9816",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.