Active NPI
Lisa Macmaster-Jurzyk, APRN
- Family Nurse Practitioner
- New Haven, CT
National Provider Identifier
1477955615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5921
- Practice address
- 400 Columbus Ave
New Haven, CT 06519-1233 - Phone
- (203) 503-3281
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5921 | CT | Primary |
Addresses
Primary practice location
400 Columbus Ave
New Haven, CT 06519-1233
Mailing address
400 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3281
Other practice location 1
460C Naugatuck Ave
Milford, CT 06460-5049
Phone (203) 951-1719
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C00712 | Other | CT | MEDICARE |
| 004235900 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell Scott Hill Health Corporation | Past | Accepting new patients | |
| Trinitynp | Family | Past | Accepting new patients |
Interoperability endpoints
- lmacmasterjurzyk182342@direct.ynhh.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- New Haven, CT
- NPI 1962477968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1477955615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191233",
"telephone_number": "203-503-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191233",
"telephone_number": "203-503-3281"
}
],
"practiceLocations": [
{
"address_1": "460C Naugatuck Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064605049",
"country_code": "US",
"telephone_number": "203-951-1719",
"fax_number": "475-313-1276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACMASTER-JURZYK",
"first_name": "LISA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "5921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "C00712",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235900",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.