Individual provider Active NPI

Jessica Leigh Stellato, APRN

  • Family Nurse Practitioner
  • Newtown, CT
National Provider Identifier
1861523755
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3068 Issued in CT
Practice address
33 Church Hill Rd
Newtown, CT 06470
Phone
(203) 426-1818
Fax
(203) 426-9253
NPI assigned
Mar 9, 2007
Last updated
Nov 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 003068 CT
Nurse Practitioner 363L00000X 3068 CT
Family Nurse Practitioner 363LF0000X 3068 CT Primary

Addresses

Primary practice location

33 Church Hill Rd
Newtown, CT 06470

Mailing address

33 Church Hill Rd
Newtown, CT 06470
Phone (203) 426-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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
I20040920000218 CT Practitioner - Nurse Practitioner 0547238453
I20250530002493 NY Practitioner - Nurse Practitioner 0547238453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Mount Ebo Rd S
Suite 1
Brewster, NY 10509-4092
Phone (845) 278-6930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3068CTMDMarriage & Family Therapist
003068CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Regional Community Health Centers Inc CurrentSince Apr 14, 2025 Accepting new patients
Hudson Valley Regional Community Health Centers Inc CurrentSince Apr 14, 2025 Accepting new patients
Nuvance Health PastSince Apr 24, 2022 Accepting new patients
Women's Health Center, PC PastSince May 18, 2015 Accepting new patients
Physicians for Women's Health LLC Family PastSince Apr 2, 2018 Accepting new patients

Locations

15 Mount Ebo Rd S
Brewster, NY 10509
Phone (845) 278-6930

15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509
Phone (845) 278-6930

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1861523755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "06470",
            "telephone_number": "203-426-1818",
            "fax_number": "203-426-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "06470",
            "telephone_number": "203-426-1818",
            "fax_number": "203-426-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLATO",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003068",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "3068",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.