Jessica Augustine
Individual provider Active NPI Medical Physician Assistant · Stamford, CT
NPI 1366106940 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1366106940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 1 Hospital PLZ
Stamford, CT 06902-3602 - Phone
- (203) 348-7410
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stamford Health Medical Group Inc
Practice addresses (Care Compare)
1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000
29 Hospital PLZ
Stamford, CT 06902-3602
4 Hospital PLZ
Suite 102
Stamford, CT 06902-3602
Phone (203) 276-2330
5 High Ridge Park
Suite 103
Stamford, CT 06905-1326
Phone (203) 276-4644
Hospital & facility affiliations
- Stamford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211229002382 | NY | Practitioner - Physician Assistant | 1759772718 | Reassigns benefits to 1 organization |
| I20241209001302 | CT | Practitioner - Physician Assistant | 1759772718 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027428 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients |
Locations
160 W 26th St
#3
New York, NY 10001
Phone (646) 660-9999
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- jaugustine30769@stamfordhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
1 Hospital PLZ
Stamford, CT 06902-3602
Mailing address
1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 348-7410
Other providers in Stamford, CT
- Analie Asunto
- Ann Mantua Asunto
- At Your Service Home Care
- Atp
- Audette & Associates LLC
- Aurora Labs LLC
- Denis Patrick Austin
- Authentic Connections Work, LLC
- Autism & Behavior Associates LLC
- David C Avallon
All providers in Stamford, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.