Jennessa Battaini, PA-C
Individual provider Active NPI Surgical Physician Assistant · Bloomfield, CT
NPI 1679201560 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1679201560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 6071 (CT)
- Practice address
- 35 Jolley Dr Ste 301
Bloomfield, CT 06002-4228 - Phone
- (860) 242-3000
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Orthopedics New England
Practice addresses (Care Compare)
224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740
35 Jolley Dr
Suite 301
Bloomfield, CT 06002-4228
Phone (860) 242-3000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, 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 |
|---|---|---|---|---|
| I20230427001119 | MA | Practitioner - Physician Assistant | 1052776903 | Reassigns benefits to 1 organization |
| I20230503001980 | CT | Practitioner - Physician Assistant | 1052776903 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6071 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics New England | Current |
Accepting new patients |
Locations
35 Jolley Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 242-3000
113 Elm St
Ste 101
Enfield, CT 06082
Phone (860) 253-0276
1000 Asylum Ave
Ste 2126
Hartford, CT 06105
Phone (860) 242-3000
1084 Cromwell Ave
Ste 1
Rocky Hill, CT 06067
224 Hartford Tpke
Vernon Rockvl, CT 06066
Phone (860) 871-6939
299 Carew St
Ste 409
Springfield, MA 01104
Phone (413) 734-3476
Interoperability endpoints
- jennessa.battaini.1@27677.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Physician Assistant | 363AS0400X | 6071 | CT | Yes |
Addresses
Primary practice location
35 Jolley Dr Ste 301
Bloomfield, CT 06002-4228
Mailing address
224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740
Other providers in Bloomfield, CT
- Lauren Ratchford Barnhart
- Stephanie Baronavski
- Shaina Barr
- Bechara Barrak
- Neha Batheja
- D Christian Battey
- Nichole M Beatty
- Kristen Begley
- Behavioral Healthcare Pathways LLC
- Paul Reuel Belcher
All providers in Bloomfield, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. 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.