JENNIFER CARTA PONS
NPI 1043890890
Nurse Practitioner - Family in Middletown, CT

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
400 SAYBROOK RD, MIDDLETOWN, CT 06457(860) 344-0333(860) 343-5957 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2025, Apr 14, 2021 (2 updates tracked since 2021).

About Jennifer Carta Pons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER CARTA PONS (NPI 1043890890) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (9525) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043890890
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER CARTA PONS
Location Address400 SAYBROOK RDMiddletown, CT 06457-4773
Mailing Address54 E High StEast Hampton, CT 06424-1052
Fax(860) 343-5957
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1043890890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 9525
400 SAYBROOK RD, Middletown, CT 06457

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Carta Pons is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133529183
PECOS Enrollment IDI20210611001648
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jennifer Pons reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
90 S MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 66 clinicians in this Medicare group
Urgent Care
396 CROMWELL AVE
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 62 clinicians in this Medicare group
Gastroenterology
85 SEYMOUR ST, 1000
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 417 clinicians in this Medicare group
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services78 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

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.

Eyewear Supplier
400 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Optometrist
400 SAYBROOK RD
MIDDLETOWN, CT 06457
Pediatrics
400 SAYBROOK RD, SUITE 206
MIDDLETOWN, CT 06457
Family Medicine
400 SAYBROOK RD, SUITE 205
MIDDLETOWN, CT 06457
Ophthalmology
400 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Family Medicine
400 SAYBROOK RD, SUITE 205
MIDDLETOWN, CT 06457
Ophthalmology
400 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Ophthalmology
400 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457

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 Jennifer Pons's NPI number?

The NPI number for Jennifer Pons is 1043890890. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Jennifer Pons located?

Jennifer Pons practices at 400 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 344-0333.

What is Jennifer Pons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Pons enrolled in Medicare?

Yes. Jennifer Pons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Pons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Pons reassigns Medicare benefits to 4 organizations: Middlesex Hospital (Middletown, CT), AFC Physicians Of Connecticut, PC (Rocky Hill, CT), Connecticut Gi PLLC (Hartford, CT) and Prohealth Physicians PC (Farmington, 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 Jennifer Pons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Pons accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Pons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Pons was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.