Individual provider Active NPI

Jessie R Jones, MD

  • Obstetrics & Gynecology Physician
  • Farmington, CT
National Provider Identifier
1477012623
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
076156 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-8085
Phone
(860) 679-2792
Fax
(860) 679-8882
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 1.075005-RES CT
Obstetrics & Gynecology Physician 207V00000X 076156 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-8085

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-2100

Other practice location 1

91 Fennbrook Rd
West Hartford, CT 06119-2205
Phone (517) 581-2230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjones69011@direct.med.uchc.edu

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222001332 CT Practitioner - Obstetrics/Gynecology 4587992482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
076156CTMDObstetrics & Gynecology Physician
1.075005-RESCTMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Nov 14, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Obstetrics & Gynecology CurrentSince Jun 1, 2024 Accepting new patients
MHS Primary Care Inc CurrentSince Jan 2, 2024 Accepting new patients
MHS Primary Care, Inc CurrentSince Jan 2, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jun 1, 2024 Accepting new patients
University of Connecticut Health Center CurrentSince Nov 14, 2023 Accepting new patients
Mercy Medical Group, Inc. Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Rm 1026
Hartford, CT 06105
Phone (860) 714-4332

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

49 Crescent St
Middletown, CT 06457
Phone (860) 344-9993

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

856 Cromwell Ave
Unit B
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: jjones2997125@direct.trinity-health.org
  • Direct secure messaging: jjones69011@direct.med.uchc.edu

Organizations & group practices 8

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1477012623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308085",
            "telephone_number": "860-679-2792",
            "fax_number": "860-679-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Fennbrook Rd",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061192205",
            "country_code": "US",
            "telephone_number": "517-581-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSIE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "1.075005-RES",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "076156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjones69011@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060308085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.