JESSICA LISE VERCRUYSSE MD
NPI 1033771126
Emergency Medicine in Willimantic, CT
About Jessica Lise Vercruysse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LISE VERCRUYSSE MD (NPI 1033771126) is an individual emergency medicine provider in Willimantic, Connecticut, licensed in Connecticut (70713) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Lise Vercruysse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jessica Vercruysse reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 104 clinicians in this Medicare group
Meriden, CT 06451
- Reassigned Medicare billing, Connecticut enrollment
- 96 clinicians in this Medicare group
Waterbury, CT 06708
- Reassigned Medicare billing, Connecticut enrollment
- 83 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Vercruysse's NPI number?
The NPI number for Jessica Vercruysse is 1033771126. It was assigned to this individual provider in the NPPES registry on June 28, 2019.
Where is Jessica Vercruysse located?
Jessica Vercruysse practices at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (904) 265-6850.
What is Jessica Vercruysse's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jessica Vercruysse enrolled in Medicare?
Yes. Jessica Vercruysse is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jessica Vercruysse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Vercruysse reassigns Medicare benefits to 3 organizations: Northeast Emergency Medicine Specialists, LLC (Willimantic, CT), Nems PLLC (Meriden, CT) and Nems W LLC (Waterbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Vercruysse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Vercruysse was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Lise Vercruysse, MD · NPI 1033771126
Emergency Medicine physician in Willimantic, Connecticut. Individual provider, active in the CMS NPPES registry since June 28, 2019.
## Identity
- **NPI:** 1033771126 (Entity type: Individual)
- **Enumerated:** June 28, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 70713 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 MANSFIELD AVE, Willimantic, CT 06226-2045
- **Phone:** (904) 265-6850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northeast Emergency Medicine Specialists, LLC (NPI 1982889598, Willimantic, CT); Nems PLLC (NPI 1114482882, Meriden, CT); Nems W LLC (NPI 1760325666, Waterbury, CT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1033771126) · Data from the CMS NPPES public registry.