Individual provider Active NPI

Jill Maureen Panetta, APRN

  • Adult Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1356348189
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11005244 Issued in FL
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

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
002564CTMDMarriage & Family Therapist
11005244FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Aug 24, 2015 Accepting new patients
Hartford Healthcare Medical Group, Inc Nurse Practitioner CurrentSince Jan 1, 2017 Accepting new patients
Hartford Hospital CurrentSince Aug 24, 2015 Accepting new patients
Hartford Hospital CurrentSince Aug 24, 2015 Accepting new patients
Providia Home Care LLC. Past Accepting new patients
Providia Home Care Corp PastSince May 16, 2021 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.

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

Verify at the official NPI Registry.