Active NPI
Jacqueline Marie Arena-Roberts, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 5387
- Practice address
- 80 Seymour St
Hartford, CT 06106-3315 - Phone
- (860) 545-2117
- Fax
- (860) 545-1784
- NPI assigned
- Mar 25, 2013
- Sex
- Female
- Sole proprietor
- No
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
CT, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Torrington, CT
- NPI 1447233176
CT, Nurse Anesthetist, Certified Registered
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131003000235 | CT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9234363342 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5387 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Anesthesia Associates PC | Current | Accepting new patients | |
| Synergy Anesthesia CT PLLC | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Connecticut Gi PLLC | Current | Accepting new patients | |
| Resource Anesthesiology Associates of CT PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569
130 Division St
Derby, CT 06418
Phone (203) 732-1330
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700
Interoperability endpoints
- jacqueline.arena@xdr.hhchealthdirect.org
- jdombrowski9447@direct.med.uchc.edu
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 5387 | CT | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06106-3315
Mailing address
99 E River Dr
East Hartford, CT 06108-3288
Phone (860) 282-4133
Other practice location 1
263 Farmington Ave
Farmington, CT 06032-1956
Phone (860) 679-3600
Other names 1
- Jacqueline Dombrowski
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdombrowski9447@direct.med.uchc.edu | Health Information Exchange (HIE) |
NPI Registry JSON
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1376885657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E RIVER DR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083288",
"telephone_number": "860-282-4133",
"fax_number": "860-289-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063315",
"telephone_number": "860-545-2117",
"fax_number": "860-545-1784"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321956",
"country_code": "US",
"telephone_number": "860-679-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARENA-ROBERTS",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "5387",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdombrowski9447@direct.med.uchc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060321956",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "DOMBROWSKI",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.