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JESSICA MACCORMAC DO
NPI 1285933655
Pediatrics - Adolescent Medicine in Hartford, CT

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
282 WASHINGTON ST, HARTFORD, CT 06106(860) 837-7681 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2022, Dec 11, 2018 (2 updates tracked since 2018).

About Jessica Maccormac Do NPPES

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

JESSICA MACCORMAC DO (NPI 1285933655) is an individual adolescent medicine provider in Hartford, Connecticut, licensed in Connecticut (60116) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2011).

NPPES Registry Identity

NPI1285933655
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameJESSICA MACCORMACCredential: DO
Location Address282 WASHINGTON STHartford, CT 06106
Mailing Address10 Columbus Blvd Fl 4Hartford, CT 06106-1976 · (860) 837-7681 · Fax (860) 837-5361
Phone(860) 837-7681
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2011
Enumeration DateMarch 24, 2011
Last NPPES UpdateSeptember 9, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1285933655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CT · 60116
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
282 WASHINGTON ST, Hartford, CT 06106
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Secondary Practice Location 1

Location 11425 Portland AveRochester, NY 14621-3001 · Phone (585) 922-2575 · Fax (585) 922-5033

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

Jessica Maccormac Do 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 ID6305169517
PECOS Enrollment IDI20180503002048
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.

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.

DR. IRFAN AHMED WARSY MBBS
Pediatrics (Pediatric Cardiology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9147
RYAN CIARLO MD
Pediatrics
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 837-5560
EUNICE HA-YOUNG KIM
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8340
JAMES HAGADORN MD
Pediatrics (Neonatal-Perinatal Medicine)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-8950
CRAIG SCHRAMM MD
Pediatrics (Pediatric Pulmonology)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9440
NICOLE LYNN BOONE PA
Physician Assistant (Surgical)
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
SRAVYA GOURISHETTI
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000
HAYA NOOR QUTOB DO
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Capitol Planning Region (860) 545-9000

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 Maccormac's NPI number?

The NPI number for Jessica Maccormac is 1285933655. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Jessica Maccormac located?

Jessica Maccormac practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 837-7681.

What is Jessica Maccormac's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Jessica Maccormac enrolled in Medicare?

Yes. Jessica Maccormac 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 Jessica Maccormac was last updated on September 9, 2022. 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.