Jacquelyn L Browne, PA-C
Individual provider Active NPI Medical Physician Assistant · Derby, CT
NPI 1457585267 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1457585267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2864 (CT)
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 732-7252
- NPI assigned
- May 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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 |
|---|---|---|---|---|
| I20130411000042 | CT | Practitioner - Physician Assistant | 8325211519 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Current |
Accepting new patients | |
| Norwalk Hospital Association | Past | Accepting new patients | |
| Optimus Health Care Inc | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
60 Hartland St
East Hartford, CT 06108
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
Interoperability endpoints
- jbrowne573129@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2864 | CT | Yes |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-7325
Other providers in Derby, CT
- Brielle Braun
- Susan J Braun
- Jacqueline Braunworth
- Virginia Breeden
- Frederick A Browne
- Katherine N Bunger
- Thommy Josue Bustillo
- Laura Butler
- Diana Bytyqi
- Wilfredo Cadelina
All providers in Derby, CT · Medical 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 Apr 14, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.