Individual provider Active NPI

Jessica Lynn Fino

  • Pediatric Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1396382792
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383270 Issued in NY
Practice address
282 Washington St Ste 2a
Hartford, CT 06106-3322
Phone
(860) 837-9630
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 8642 CT
Pediatric Nurse Practitioner 363LP0200X 383270 NY Primary

Addresses

Primary practice location

282 Washington St Ste 2a
Hartford, CT 06106-3322

Mailing address

640 Brookside Dr
Fairfield, CT 06824-2419

Other practice location 1

161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-0114

Other practice location 2

640 Brookside Dr
Fairfield, CT 06824-2419
Phone (203) 556-7738

Other practice location 3

20 York St
New Haven, CT 06510-3220
Phone (203) 785-4640

Other names 1

  • Jessica Lynn Morcone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210216001154 CT Practitioner - Nurse Practitioner 5799190211 Reassigns benefits to 2 organizations
I20210911000034 NY Practitioner - Nurse Practitioner 5799190211 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8642CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jan 14, 2021 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Feb 21, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 23, 2021 Accepting new patients
Yale University CurrentSince Jan 14, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 23, 2021 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Feb 21, 2024 Accepting new patients
Willows Pediatric Group PC Past Accepting new patients

Locations

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

282 Washington St
Ste 2A
Hartford, CT 06106
Phone (860) 837-9630

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

35 Park St
New Haven, CT 06519
Phone (203) 200-2100

20 York St
North Haven, CT 06510
Phone (203) 688-2433

400 Kelby St
Fort Lee, NJ 07024
Phone (212) 304-6309

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • Direct secure messaging: jmorcone441830@direct.ynhh.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1396382792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BROOKSIDE DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068242419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST STE 2A",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-837-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323729",
            "country_code": "US",
            "telephone_number": "212-305-0114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068242419",
            "country_code": "US",
            "telephone_number": "203-556-7738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-785-4640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "8642",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MORCONE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.