Individual provider Active NPI

Jennessa Battaini, PA-C

  • Surgical Physician Assistant
  • Bloomfield, CT
National Provider Identifier
1679201560
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
6071 Issued in CT
Practice address
35 Jolley Dr Ste 301
Bloomfield, CT 06002-4228
Phone
(860) 242-3000
NPI assigned
Aug 10, 2022
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Physician Assistant 363AS0400X 6071 CT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230427001119 MA Practitioner - Physician Assistant 1052776903 Reassigns benefits to 1 organization
I20230503001980 CT Practitioner - Physician Assistant 1052776903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics New EnglandGroup PAC ID 9335108547, 19 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics New England CurrentSince Apr 21, 2023 Accepting new patients
Advanced Orthopedics New England CurrentSince Apr 21, 2023 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

  • Direct secure messaging: jennessa.battaini.1@27677.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1679201560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664763",
            "telephone_number": "860-728-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR STE 301",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024228",
            "telephone_number": "860-242-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAINI",
        "first_name": "JENNESSA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "6071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.