DR. JOANNA BOBACK DNP, APRN,FNP, PMHNP
NPI 1225720121
Nurse Practitioner - Family in Bridgeport, CT
About Dr. Joanna Boback Dnp, Aprn,fnp, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOANNA BOBACK DNP, APRN,FNP, PMHNP (NPI 1225720121) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (12028) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Joanna Boback Dnp, Aprn,fnp, Pmhnp 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 Reassignments
2Medicare enrollment records show Joanna Boback reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgeport, CT 06610
- Reassigned Medicare billing, Connecticut enrollment
- 22 clinicians in this Medicare group
Bridgeport, CT 06605
- Reassigned Medicare billing, Connecticut enrollment
- 126 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 06610 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIDGEPORT, CT 06610
BRIDGEPORT, CT 06610
BRIDGEPORT, CT 06610
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 Joanna Boback's NPI number?
The NPI number for Joanna Boback is 1225720121. It was assigned to this individual provider in the NPPES registry on May 22, 2023.
Where is Joanna Boback located?
Joanna Boback practices at 399 Mill Hill Ave, Bridgeport, CT 06610. The listed phone number is (203) 384-9301.
What is Joanna Boback's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Joanna Boback enrolled in Medicare?
Yes. Joanna Boback 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 Joanna Boback's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Boback reassigns Medicare benefits to 2 organizations: Liberation Programs Inc (Bridgeport, CT) and South-West Community Health Center, Inc (Bridgeport, 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 Joanna Boback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joanna Boback accept?
Health plans from Anthem Blue Cross and Blue Shield list Joanna Boback 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 Joanna Boback was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Dr. Joanna Boback, DNP, APRN,FNP, PMHNP · NPI 1225720121
Family physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1225720121 (Entity type: Individual)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12028 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 399 MILL HILL AVE, Bridgeport, CT 06610-2865
- **Phone:** (203) 384-9301
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Liberation Programs Inc (NPI 1316067481, Bridgeport, CT); South-West Community Health Center, Inc (NPI 1699703686, Bridgeport, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225720121) · Data from the CMS NPPES public registry.