Individual provider Active NPI

Jamie Prefontaine, APRN

  • Acute Care Nurse Practitioner
  • North Haven, CT
National Provider Identifier
1386447712
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
13975 Issued in CT
Practice address
190 Universal Dr N Ste 101
North Haven, CT 06473-3156
Phone
(203) 234-5990
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 013975 CT
Acute Care Nurse Practitioner 363LA2100X 13975 CT Primary

Addresses

Primary practice location

190 Universal Dr N Ste 101
North Haven, CT 06473-3156

Mailing address

190 Universal Dr N Ste 101
North Haven, CT 06473-3156
Phone (203) 234-5990

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
I20250623002126 CT Practitioner - Nurse Practitioner 1658883004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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)

190 Universal Dr N
North Haven, CT 06473-3156
Phone (860) 972-5107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
013975CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

280 S Main St
Ste 204
Cheshire, CT 06410
Phone (203) 224-5161

190 Universal Dr N
North Haven, CT 06473
Phone (203) 234-1891

190 Universal Dr
Ste 101
North Haven, CT 06473
Phone (203) 234-5990

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

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1386447712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 UNIVERSAL DR N STE 101",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733156",
            "telephone_number": "203-234-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 UNIVERSAL DR N STE 101",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733156",
            "telephone_number": "203-234-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREFONTAINE",
        "first_name": "JAMIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "013975",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "13975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.