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JESSICA LISE VERCRUYSSE MD
NPI 1033771126
Emergency Medicine in Willimantic, CT

Active since June 28, 2019PECOS Enrolled
93.24/100
CMS Quality Rating
112 MANSFIELD AVE, WILLIMANTIC, CT 06226(904) 265-6850 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2019, Jul 1, 2019 (2 updates tracked since 2019).

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

NPI1033771126
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJESSICA LISE VERCRUYSSECredential: MD
Location Address112 MANSFIELD AVEWillimantic, CT 06226-2045
Mailing Address112 Mansfield AveWillimantic, CT 06226-2045
Phone(904) 265-6850
Sole ProprietorNo
Enumeration DateJune 28, 2019
Last NPPES UpdateJune 22, 20222 updates tracked since enumeration
NPPES CertifiedJune 22, 2022
✔ NPI 1033771126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 70713✔ Licensed in MI · 4351045618
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
112 MANSFIELD AVE, Willimantic, CT 06226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lise Vercruysse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
248 services240 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
134 services129 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services44 patients

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.98
Improvement Activities40

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.

BETHANY JOY KENNEDY APRN
Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-9116
MARLENE SCHWARTZ M.D.
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-7279
WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6752
LORI BERNIER LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6793
SAMER T MORCOS MD
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6713
ERIN CURRY BANE DNP CNM
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6796
JESSICA L ST. LOUIS LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6985
THOMAS GILMORE
Emergency Medicine
112 MANSFIELD AVE, WINDHAM HOSPITAL
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (215) 955-9837

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.

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.