Active NPI
Jill Maureen Panetta, APRN
- Adult Health Nurse Practitioner
- Naples, FL
National Provider Identifier
1356348189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11005244
- Practice address
- 3560 Kraft Rd Ste 301
Naples, FL 34105-5035 - Phone
- (203) 379-7516
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 002564 | CT | |
| Nurse Practitioner | 363L00000X | 002564 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 11005244 | FL | Primary |
Addresses
Primary practice location
3560 Kraft Rd Ste 301
Naples, FL 34105-5035
Mailing address
4121 Amelia Way
Naples, FL 34119-9042
Phone (203) 379-7516
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpanetta@pchhs.com | Direct | Providia Home Care LLC. |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070920000693 | CT | Practitioner - Nurse Practitioner | 7416041454 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002564 | CT | MD | Marriage & Family Therapist |
| 11005244 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Providia Home Care LLC. | Past | Accepting new patients | |
| Providia Home Care Corp | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
Organizations & group practices 6
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.
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CT, Nurse Practitioner
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- NPI 1902834880
-
- Home Health Agency
- Saint Petersburg, FL
- NPI 1710343900
-
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1356348189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 AMELIA WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199042",
"telephone_number": "203-379-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 KRAFT RD STE 301",
"city": "NAPLES",
"state": "FL",
"postal_code": "341055035",
"telephone_number": "203-379-7516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANETTA",
"first_name": "JILL",
"middle_name": "MAUREEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "002564",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "002564",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "11005244",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpanetta@pchhs.com",
"affiliation": "Y",
"endpointDescription": "Email address",
"affiliationName": "Providia Home Care LLC.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3560 Kraft Rd Ste 301",
"city": "Naples",
"state": "FL",
"country_code": "US",
"postal_code": "341055035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.