JEANNIE MCINTOSH APRN
NPI 1063967867
Nurse Practitioner - Family in Meriden, CT
About Jeannie Mcintosh Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNIE MCINTOSH APRN (NPI 1063967867) is an individual family provider in Meriden, Connecticut, licensed in Connecticut (6656) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
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 and accepts Medicare assignment
Jeannie Mcintosh Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeannie Mcintosh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 390 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MERIDEN, CT 06450
MERIDEN, CT 06450
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 Jeannie Mcintosh's NPI number?
The NPI number for Jeannie Mcintosh is 1063967867. It was assigned to this individual provider in the NPPES registry on August 22, 2016.
Where is Jeannie Mcintosh located?
Jeannie Mcintosh practices at 134 State St, Meriden, CT 06450. The listed phone number is (203) 237-2229.
What is Jeannie Mcintosh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeannie Mcintosh enrolled in Medicare?
Yes. Jeannie Mcintosh 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 organization bills Medicare for Jeannie Mcintosh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeannie Mcintosh reassigns Medicare benefits to Community Health Center Inc (Middletown, CT). The 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 Jeannie Mcintosh'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 Jeannie Mcintosh was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jeannie Mcintosh, APRN · NPI 1063967867
Family physician in Meriden, Connecticut. Individual provider, active in the CMS NPPES registry since August 22, 2016.
## Identity
- **NPI:** 1063967867 (Entity type: Individual)
- **Enumerated:** August 22, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6656 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 134 STATE ST, Meriden, CT 06450-3293
- **Phone:** (203) 237-2229 · **Fax:** (203) 686-1677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health Center Inc (NPI 1952591851, Middletown, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1063967867) · Data from the CMS NPPES public registry.