Individual provider Active NPI

Jillian Strassner Reardon, P.A-C

  • Medical Physician Assistant
  • Farmington, CT
National Provider Identifier
1356713978
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003434 Issued in CT
Practice address
399 Farmington Ave Ste 210
Farmington, CT 06032-1944
Phone
(860) 548-7338
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5533 MA
Medical Physician Assistant 363AM0700X 003434 CT Primary

Addresses

Primary practice location

399 Farmington Ave Ste 210
Farmington, CT 06032-1944

Mailing address

399 Farmington Ave Ste 210
Farmington, CT 06032-1944
Phone (860) 548-7338

Other practice location 1

725 Albany Street
Shapiro 8, Suite A
Boston, MA 02118
Phone (617) 638-8419

Other practice location 2

85 Seymour St Ste 415
Hartford, CT 06106-5523
Phone (860) 548-7338

Other practice location 3

330 Western Blvd
Glastonbury, CT 06033-4383
Phone (860) 548-7338

Other identifiers 1

IdentifierTypeStateIssuer
110113546AMedicaidMA

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
I20220412001133 CT Practitioner - Physician Assistant 4981906088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

330 Western Blvd
Glastonbury, CT 06033-4383
Phone (860) 696-4380

330 Western Boulevard
Suite 103
Glastonbury, CT 06033-4383
Phone (860) 972-2884

399 Farmington Ave
Lowr Level
Farmington, CT 06032-1936
Phone (860) 278-0079

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003434CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Apr 8, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 8, 2022 Accepting new patients

Locations

399 Farmington Ave
Ste 210
Farmington, CT 06032
Phone (860) 548-7338

330 Western Blvd
Glastonbury, CT 06033
Phone (860) 524-4566

85 Seymour St
Ste 415
Hartford, CT 06106
Phone (860) 249-2071

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: jillian.strassner@xdr.hhchealthdirect.org

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 2

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1356713978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE STE 210",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321944",
            "telephone_number": "860-548-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE STE 210",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321944",
            "telephone_number": "860-548-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany Street",
            "address_2": "Shapiro 8, Suite A",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-8419",
            "fax_number": "617-414-0201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Seymour St Ste 415",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061065523",
            "country_code": "US",
            "telephone_number": "860-548-7338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334383",
            "country_code": "US",
            "telephone_number": "860-548-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REARDON",
        "first_name": "JILLIAN",
        "middle_name": "STRASSNER",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5533",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "003434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110113546A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.