Individual provider Active NPI

Jamie Adelis Llera, APRN

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1891584348
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14748 Issued in CT
Practice address
46 Soundview Ave
Milford, CT 06460-7877
Phone
(203) 895-4360
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 14748 CT Primary

Addresses

Primary practice location

46 Soundview Ave
Milford, CT 06460-7877

Mailing address

62 Shanley St
Stratford, CT 06615-6972
Phone (203) 414-6852

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
I20250521000441 CT Practitioner - Nurse Practitioner 5496273682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians
Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

240 Indian River Rd
Suite C
Orange, CT 06477-3649
Phone (203) 497-3861

4 Hazel Ave
Naugatuck, CT 06770-4706
Phone (203) 723-1456

80 Fern Dr
Torrington, CT 06790-3807
Phone (312) 488-0624

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Health Care Management,LLC Family CurrentSince May 14, 2025 Accepting new patients
Campbell Medical Services, LLC Family CurrentSince Dec 22, 2025 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Jan 1, 2026 Accepting new patients

Locations

845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645

4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

215 Forest St
Torrington, CT 06790
Phone (607) 303-9318

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

755 Campbell Ave
Ste 1
West Haven, CT 06516
Phone (203) 937-1100

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 4

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": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1891584348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SHANLEY ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156972",
            "telephone_number": "203-414-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SOUNDVIEW AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607877",
            "telephone_number": "203-895-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLERA",
        "first_name": "JAMIE",
        "middle_name": "ADELIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.