Individual provider Active NPI

Jessica Lynne Wilson

  • Family Nurse Practitioner
  • Torrington, CT
National Provider Identifier
1861181927
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11876 Issued in CT
Practice address
58 Eastlawn Dr
Torrington, CT 06790
Phone
(860) 601-8449
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11876 CT Primary

Addresses

Primary practice location

58 Eastlawn Dr
Torrington, CT 06790

Mailing address

58 Eastlawn Dr
Torrington, CT 06790-3009
Phone (860) 601-8449

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601000854 CT Practitioner - Nurse Practitioner 4183081409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quotidian Health LLCGroup PAC ID 6901105451, 16 clinicians

Practice addresses (Care Compare)

139 Toddy Hill Rd
Sandy Hook, CT 06482-1362
Phone (607) 303-9318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quotidian Health LLC CurrentSince Jun 5, 2023 Accepting new patients

Locations

33 Dixwell Ave
New Haven, CT 06511
Phone (800) 805-0759

139 Toddy Hill Rd
Sandy Hook, CT 06482
Phone (203) 364-3110

27 Hospital Hill Rd
Sharon, CT 06069
Phone (607) 303-9318

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1861181927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 EASTLAWN DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903009",
            "telephone_number": "860-601-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 EASTLAWN DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-601-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.