Individual provider Active NPI

Jessica Prisco, NP

  • Primary Care Nurse Practitioner
  • Newington, CT
National Provider Identifier
1407300593
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
12.006611 Issued in CT
Practice address
555 Willard Ave
Newington, CT 06111-2631
Phone
(860) 666-6951
NPI assigned
Aug 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 12.006611 CT Primary

Addresses

Primary practice location

555 Willard Ave
Newington, CT 06111-2631

Mailing address

16 Cobblestone Dr
Groton, CT 06340-3853

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
I20180228001736 CT Practitioner - Nurse Practitioner 7810258258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

420 Saybrook Rd
Middletown, CT 06457-4747
Phone (860) 636-2010

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12.006611CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jan 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

14 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 295-8217

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

420 Saybrook Rd
Ste A
Middletown, CT 06457
Phone (860) 347-4258

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

51 Main St
Old Saybrook, CT 06475
Phone (860) 388-3564

584 Norwich Rd
Ste 400
Plainfield, CT 06374
Phone (860) 455-3945

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

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

Interoperability endpoints

  • Direct secure messaging: jessica.prisco@xdr.hhchealthdirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1470528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470528000000",
    "number": "1407300593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COBBLESTONE DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112631",
            "telephone_number": "860-666-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISCO",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-07",
        "last_updated": "2016-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "12.006611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.