Jacqueline Mary Atkinson, PA-C
Individual provider Active NPI Medical Physician Assistant · Middletown, CT
NPI 1871022293 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1871022293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 28 Crescent St
Middletown, CT 06457-3654 - Phone
- (860) 358-6000
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Middlesex Hospital
Practice addresses (Care Compare)
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-5322
80 S Main St
Middletown, CT 06457-3648
Phone (860) 358-6878
Hospital & facility affiliations
- Middlesex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170816000071 | CT | Practitioner - Physician Assistant | 9436421161 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midstate Medical Center | Current |
Accepting new patients | |
| Middlesex Hospital | Medical | Current |
Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| Middlesex Hospital | Current |
Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
| Middlesex Hospital | Past | Accepting new patients | |
| Middlesex Hospital Paramedics | Past | Accepting new patients |
Locations
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
Interoperability endpoints
- jacqueline.atkinson@xdr.hhchealthdirect.org
- jatkinson14760@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
28 Crescent St
Middletown, CT 06457-3654
Mailing address
18 Centennial St
Foxboro, MA 02035-2321
Phone (774) 219-6751
Other practice location 1
18 Centennial Street
Foxboro, MA 02035
Phone (774) 219-6751
Other providers in Middletown, CT
- Jennifer Marie Askenas
- Stacy Asklar
- At Ease Living LLC
- Athena Middlesex LLC
- Athena Middlesex, LLC
- Katherine Carol Attong-Jackson
- Nicole Christina Aucoin
- David Augenblick
- Courtney W. Augustine-Palmer
- Akashdeep Aujla
All providers in Middletown, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.