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DR. JOANNA BOBACK DNP, APRN, FNP-BC
NPI 1225720121
Nurse Practitioner - Family in Bridgeport, CT

Active since May 22, 2023PECOS EnrolledAccepts Medicare Assignment
399 MILL HILL AVE, BRIDGEPORT, CT 06610(203) 384-9301 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, May 22, 2023 (2 updates tracked since 2023).

About Dr. Joanna Boback Dnp, Aprn, Fnp-bc NPPES

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

DR. JOANNA BOBACK DNP, APRN, FNP-BC (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

NPI1225720121
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JOANNA BOBACKCredential: DNP, APRN, FNP-BC
Location Address399 MILL HILL AVEBridgeport, CT 06610-2865
Mailing Address399 Mill Hill AveBridgeport, CT 06610-2865
Phone(203) 384-9301
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 22, 2023
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1225720121 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 · 12028
399 MILL HILL AVE, Bridgeport, CT 06610
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joanna Boback Dnp, Aprn, Fnp-bc 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 ID9032563226
PECOS Enrollment IDI20230921001711
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.

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.

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.

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.

EMILY RACHEL MIHAILESCU APRN
Nurse Practitioner (Family)
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (855) 542-7764
NADINE WILLIAMS LMSW
Social Worker
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-9301
ALICIA HINDS FNP-C
Family Medicine
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-9301
MS. PATRICIA JOAN SMITH APRN CLINICAL SPECIA
Clinical Nurse Specialist (Psychiatric/Mental Health)
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 953-3374
LIBERATION PROGRAMS INC
Counselor (Addiction (Substance Use Disorder))
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (888) 822-2270
LIBERATION PROGRAMS INC
Clinic/Center (Adult Mental Health)
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (888) 822-2270
KAITLYN MCCARTHY LMSW
Social Worker (Clinical)
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (475) 334-4641
RACHEL MARY VOGT CAC
Counselor (Addiction (Substance Use Disorder))
399 MILL HILL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-9301

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.

When was this NPI record last updated?

The NPPES record for Joanna Boback was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.