Active NPI
Jenna Delucia, APRN
- Women's Health Nurse Practitioner
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 9033
- Practice address
- 761 Main Ave Ste 106
Norwalk, CT 06851-1080 - Phone
- (203) 846-8885
- Fax
- (203) 846-6032
- NPI assigned
- Jul 28, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 164932 | CT | |
| Women's Health Nurse Practitioner | 363LW0102X | 9033 | CT | Primary |
Addresses
Primary practice location
761 Main Ave Ste 106
Norwalk, CT 06851-1080
Mailing address
761 Main Ave Ste 106
Norwalk, CT 06851-1080
Phone (203) 846-8885
Other names 1
- Jenna Hernandez
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
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
148 E Ave
Norwalk, CT 06851-5721
Phone (203) 846-8885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164932 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Hospital Association | Current | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| Norwalk Hospital Association | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886
761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160
761 Main Ave
Ste 106
Norwalk, CT 06851
Phone (203) 838-0442
520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1790394518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 MAIN AVE STE 106",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-846-8885",
"fax_number": "203-846-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE STE 106",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-846-8885",
"fax_number": "203-846-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCIA",
"first_name": "JENNA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "164932",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CT",
"license": "9033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "HERNANDEZ",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.