Jennifer Theresa Pereira, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11137 Issued in CT

Practice address

34 Professional Park Rd
Storrs, CT 06268-1659

Phone

(860) 487-0002

Fax

(860) 429-1663

NPI assigned

Dec 2, 2022

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71598
• Direct secure messaging: jennifer.pereira@mfp.directbygreenway.com
• Direct secure messaging: jennifer.pereira@xdr.hhchealthdirect.org

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.

• Hartford Healthcare Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Avon, CT
  • NPI 1093239683
  Medicare reassignment Care Compare group NPD
• Mansfield Family Practice LLC

  • Family Medicine Physician
  • Storrs, CT
  • NPI 1265546956
  Medicare reassignment NPD

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1922718725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PROFESSIONAL PARK RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681659",
            "telephone_number": "860-487-0002",
            "fax_number": "860-429-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PROFESSIONAL PARK RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681659",
            "telephone_number": "860-487-0002",
            "fax_number": "860-429-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "JENNIFER",
        "middle_name": "THERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lee Nguyen, MD
• North Star Foundation
• Colleen Anne Norton, DMD
• Michael Olzinski, RPH, PHARMD
• Jon David Pedersen Jr.
• Sarah Musumano Phillips, NP
• Physician Management Services of Connecticut, LLC
• John David Prewitt, LPC
• Amy Proulx, RPH
• Graciela Quinones-Rodriguez, LCSW

• Family Nurse Practitioner in Storrs, CT
• Providers in Storrs, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.

Verify at the official NPI Registry.