Jenna Kaitlyn Parks, PA-C
Individual provider Active NPI Physician Assistant · Durham, CT
NPI 1407463235 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1407463235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4968 (CT)
- Practice address
- 6 Main St
Durham, CT 06422-2130 - Phone
- (860) 358-5020
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MHS Primary Care, Inc.
Practice addresses (Care Compare)
270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040
6 Main St
Durham, CT 06422-2130
Phone (860) 358-5020
896 Washington St
Middletown, CT 06457-2912
Phone (860) 788-3632
Hospital & facility affiliations
- Middlesex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20201104001002 | CT | Practitioner - Physician Assistant | 0941610828 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHS Primary Care Inc | Physician Assistant | Current |
Accepting new patients |
| MHS Primary Care Inc | Physician Assistant | Current |
Accepting new patients |
| MHS Primary Care Inc | Physician Assistant | Current |
Accepting new patients |
| MHS Primary Care, Inc | Physician Assistant | Past | Accepting new patients |
| Cornell Scott Hill Health Corporation | Past | Accepting new patients |
Locations
6 Main St
Durham, CT 06422
Phone (860) 349-1058
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
896 Washington St
Middletown, CT 06457
Phone (860) 788-3632
154 Main St
Old Saybrook, CT 06475
Phone (860) 395-1212
270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040
Interoperability endpoints
- jcordeiro85151@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4968 | CT | Yes |
Addresses
Primary practice location
6 Main St
Durham, CT 06422-2130
Mailing address
32 Hog Hill Rd
East Hampton, CT 06424-1821
Phone (860) 682-0851
Other providers in Durham, CT
- Nourish by Gina LLC
- Nutmeg Pediatric Speech Therapy LLC
- Open Minds Counseling
- Karen Otte
- Susan Marie Palmer
- Amit Patel
- Shaun M Patenaude
- Prete Chiropractic Center LLC
- April J Prete
- Toby Rascati
All providers in Durham, CT · 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 Oct 21, 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.