Individual provider Active NPI

Jennifer Robinson, NP

  • Family Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1417459025
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8118 Issued in CT
Practice address
3848 Whitney Ave
Hamden, CT 06518-1518
Phone
(475) 342-4009
Fax
(318) 232-5507
NPI assigned
Feb 28, 2018
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8118 CT Primary

Addresses

Primary practice location

3848 Whitney Ave
Hamden, CT 06518-1518

Mailing address

20 York Street, CB-329
New Haven, CT 06510-3220
Phone (203) 688-1734

Other practice location 1

2165 Dixwell Ave
Hamden, CT 06514-2116
Phone (203) 248-2727

Other practice location 2

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 284-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.robinson@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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
I20190514000415 CT Practitioner - Nurse Practitioner 5890059745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8118CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Apr 14, 2023 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Apr 27, 2020 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1417459025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK STREET, CB-329",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-1734",
            "fax_number": "203-688-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181518",
            "telephone_number": "475-342-4009",
            "fax_number": "318-232-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2165 Dixwell Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065142116",
            "country_code": "US",
            "telephone_number": "203-248-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Gaylord Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064922828",
            "country_code": "US",
            "telephone_number": "203-284-2800",
            "fax_number": "203-294-8705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.robinson@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "687 Campbell Ave",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065163774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.