Active NPI
Jillian T Philbin, MSN, APRN, NP-C
- Nurse Practitioner
- Danbury, CT
National Provider Identifier
1841634227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6540
- Practice address
- 25 Tamarack Ave
Danbury, CT 06811-4829 - Phone
- (203) 797-8990
- NPI assigned
- Apr 29, 2013
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2274068 | MA | |
| Nurse Practitioner | 363L00000X | 6540 | CT | Primary |
Addresses
Primary practice location
25 Tamarack Ave
Danbury, CT 06811-4829
Mailing address
176 Brushy Hill Rd
Newtown, CT 06470-2520
Phone (203) 313-5897
Other practice location 1
281 Lincoln St
Department of Dermatology
Worcester, MA 01605-2138
Phone (508) 334-5979
Other practice location 2
849 Boston Post Rd Ste 300
Milford, CT 06460-3537
Phone (203) 301-5860
Other names 1
- Ms. Jillian A Tanner
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Tamarack Ave
Danbury, CT 06811-4829
Phone (203) 797-8990
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.15 of 100
- Quality
- 87.88
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2274068 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermcare PC | Current | Accepting new patients | |
| Patch Testing Centers of Excellence- Milford | Past | Accepting new patients | |
| Paul Fischer MD P.C. | Past | Accepting new patients |
Locations
25 Tamarack Ave
Danbury, CT 06811
Phone (203) 797-8990
Interoperability endpoints
- jphilbin@directaddress.net
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.
-
- Dermatology Physician
- Danbury, CT
- NPI 1023068087
-
- Clinical & Laboratory Dermatological Immunology Physician
- Milford, CT
- NPI 1548687437
-
- Plastic Surgery Physician
- Milford, CT
- NPI 1972838480
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1841634227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 BRUSHY HILL RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064702520",
"telephone_number": "203-313-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 TAMARACK AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114829",
"telephone_number": "203-797-8990"
}
],
"practiceLocations": [
{
"address_1": "281 Lincoln St",
"address_2": "Department of Dermatology",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052138",
"country_code": "US",
"telephone_number": "508-334-5979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "849 Boston Post Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064603537",
"country_code": "US",
"telephone_number": "203-301-5860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILBIN",
"first_name": "JILLIAN",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "2274068",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "6540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "TANNER",
"middle_name": "A",
"prefix": "MS.",
"credential": "MSN, APRN, NP-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.