Individual provider Active NPI

Jena Mitchell, FNP-C

  • Family Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1497315956
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8229 Issued in CT
Practice address
520 Saybrook Rd Ste 105
Middletown, CT 06457-4700
Phone
(860) 740-8132
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 8229 CT Primary

Addresses

Primary practice location

520 Saybrook Rd Ste 105
Middletown, CT 06457-4700

Mailing address

281 Hartford Tpke Ste 201
Vernon, CT 06066-4759
Phone (860) 558-4226

Other practice location 1

17 S Highland St
West Hartford, CT 06119-1826
Phone (860) 258-4171

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
I20190828003304 CT Practitioner - Nurse Practitioner 5890023832 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8229CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health Psych PC CurrentSince Jan 25, 2025 Accepting new patients
Hartford Dispensary CurrentSince Aug 1, 2024 Accepting new patients
Revolutionary Recovery CurrentSince Apr 30, 2023 Accepting new patients

Locations

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

520 Saybrook Rd
Ste 105
Middletown, CT 06457
Phone (203) 314-0179

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

Interoperability endpoints

  • Direct secure messaging: jena.mitchell.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1497315956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE STE 201",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664759",
            "telephone_number": "860-558-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SAYBROOK RD STE 105",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574700",
            "telephone_number": "860-740-8132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 S Highland St",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191826",
            "country_code": "US",
            "telephone_number": "860-258-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.