Active NPI
Jillian T Crowley, PA-C
- Physician Assistant
- Bloomfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003326
- Practice address
- 711 Cottage Grove Rd
Bloomfield, CT 06002-3060 - Phone
- (860) 242-8756
- Fax
- (860) 242-3052
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8042 | AZ | |
| Physician Assistant | 363A00000X | 003326 | CT | Primary |
Addresses
Primary practice location
711 Cottage Grove Rd
Bloomfield, CT 06002-3060
Mailing address
1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695
711 Cottage Grove Rd
Bloomfield, CT 06002-3060
Phone (860) 242-8756
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3326 | CT | MD | Professional Counselor |
| 003326 | CT | MD | Clinical Social Worker |
| 8042 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Bridgeport Hospital | Current | Accepting new patients | |
| Emergency Medicine Solutions, LLC | Past | Accepting new patients |
Locations
711 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-8756
10 Loeffler Rd
Bloomfield, CT 06002
Phone (860) 726-2000
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- jcrowley318932@direct.ynhh.org
- jillian.crowley@xdr.hhchealthdirect.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Milford, CT
- NPI 1619553021
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Emergency Medicine Physician
- Springfield, MA
- NPI 1114936515
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1992902977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY",
"address_2": "HARTFORD HEALTHCARE-CVO",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023060",
"telephone_number": "860-242-8756",
"fax_number": "860-242-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "JILLIAN",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2021-11-20",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8042",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "003326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.