Jill K Alsgaard, APRN
Individual provider Active NPI Acute Care Nurse Practitioner · Farmington, CT
NPI 1508555301 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1508555301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 12.009455 (CT)
- Practice address
- 263 Farmington Avenue
263 Farmington Avenue
Farmington, CT 06030 - Phone
- (860) 679-8080
- NPI assigned
- May 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Connecticut Health Center
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
Hospital & facility affiliations
- John Dempsey Hospital of the University of Connect
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 |
|---|---|---|---|---|
| I20230908003008 | CT | Practitioner - Nurse Practitioner | 7315301314 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9455 | CT | MD | Physical Therapist |
| 12.009455 | CT | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current |
Accepting new patients | |
| University of Connecticut Health Center | Current |
Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
836 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519
1115 West St
Southington, CT 06489
Phone (860) 276-6000
Interoperability endpoints
- jalsgaard7865@direct.med.uchc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 12.009455 | CT | Yes |
Addresses
Primary practice location
263 Farmington Avenue
263 Farmington Avenue
Farmington, CT 06030
Mailing address
263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-8080
Other practice location 1
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2085
Other providers in Farmington, CT
- Alpha Wave Health Centers LLC
- Abdullah I Alqaied
- Dana Mohamad Ahmad Alqudah
- Sharifah Alrushaid
- Wesam Talal Alsalman
- Hussin Alshatti
- Ahmad Alslman
- Kainat Altaf
- Camille Nicole Alvarado
- Maria Claudia Alvarado
All providers in Farmington, CT · Acute Care Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.