Jacqueline Simpson, PMHNP-BC, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

003260 Issued in CT

Practice address

14 Buena Vista St
Stamford, CT 06907-2401

Phone

(475) 214-8233

Fax

(203) 547-7724

NPI assigned

Nov 2, 2007

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jacqueline Simpson-Dunne Other name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Columbia University College of Physicians and Surgeons, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• State of Connecticut

  dba Southwest Connecticut Mental Health System

  • Psychiatric Hospital
  • Bridgeport, CT
  • NPI 1720013360
  Medicare reassignment Care Compare group NPD
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• Child Mental Health Solutions, LLC

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Darien, CT
  • NPI 1407396120
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1346429602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 POST RD E FL 2",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803615",
            "telephone_number": "475-214-8233",
            "fax_number": "203-547-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BUENA VISTA ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069072401",
            "telephone_number": "475-214-8233",
            "fax_number": "203-547-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Post Rd E",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068803615",
            "country_code": "US",
            "telephone_number": "475-214-8233",
            "fax_number": "203-547-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JACQUELINE",
        "credential": "PMHNP-BC, PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "003260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "003260",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003260",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.simpson-dunne@ct.gov",
            "affiliation": "N",
            "endpointDescription": "work",
            "address_1": "14 Buena Vista St",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069072401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SIMPSON-DUNNE",
            "credential": "PMHNP-BC, PNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Marc Simon, LCSW
• Michael Simonello
• Shana Simonson
• Ayeena Madgel Simoy
• Caroleeta Simpson
• Dilwantie Singh-Umrao
• Sira Pharmacy LLC (The Medicine Shoppe Pharmacy)
• Peter Yale Siroka, DPM
• Jonathan Andrew Sirota, DC
• Sisufit PLLC

• Pediatric Nurse Practitioner in Stamford, CT
• Providers in Stamford, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.