Active NPI
Jesse E Hill, PA
- Medical Physician Assistant
- Bloomfield, CT
National Provider Identifier
1609890698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000178
- Practice address
- 47 Jolley Drive
Bloomfield, CT 06002 - Phone
- (860) 243-3020
- Fax
- (860) 243-3002
- NPI assigned
- Jul 26, 2006
- Last updated
- Jan 11, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000178 | CT | Primary |
Addresses
Primary practice location
47 Jolley Drive
Bloomfield, CT 06002
Mailing address
47 Jolley Dr
Bloomfield, CT 06002-3092
Phone (860) 243-3020
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001167568 | Medicaid | CT | |
| 290000178CT01 | Other | CT | BLUE CROSS/BLUE SHIELD |
| 44259 | Other | CT | AETNA US HEALTHCARE |
| 18000 | Other | CT | CONNECTICARE |
| P1595383 | Other | CT | OXFORD HEALTH PLANS |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000178 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1609890698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 JOLLEY DR",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023092",
"telephone_number": "860-243-3020",
"fax_number": "860-243-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 JOLLEY DRIVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "06002",
"telephone_number": "860-243-3020",
"fax_number": "860-243-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JESSE",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "000178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001167568",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "290000178CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "44259",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "18000",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P1595383",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.