Active NPI
Jennifer Marie Cardillo, PA
- Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001409
- Practice address
- 80 Seymour Street
Hartford Hospital Urology Dept
Hartford, CT 06102 - Phone
- (860) 545-2791
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001409 | CT | Primary |
Addresses
Primary practice location
80 Seymour Street
Hartford Hospital Urology Dept
Hartford, CT 06102
Mailing address
P.O. Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003014099 | Medicaid | CT |
Other names 1
- Jennifer M. Hess
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
538 Litchfield St
Torrington, CT 06790-6669
Phone (860) 496-6265
540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-9669
85 Seymour St
Hartford, CT 06106-5501
Phone (860) 827-7690
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
| The Charlotte Hungerford Hospital | Current | Accepting new patients |
Locations
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
Interoperability endpoints
- jennifer.cardillo@xdr.hhchealthdirect.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Physician Assistant
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Psychiatric Hospital Unit
- Torrington, CT
- NPI 1639255870
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1649369596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 415933",
"address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415933",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL UROLOGY DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06102",
"telephone_number": "860-545-2791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDILLO",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003014099",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HESS",
"middle_name": "M.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.