JACOB VICENTE DNP, PMHNP-BC
NPI 1316689078
Nurse Practitioner - Psychiatric/Mental Health in West Hartford, CT

Q: What is Jacob Vicente's NPI number?

The NPI number for Jacob Vicente is 1316689078. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Jacob Vicente's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Vicente was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 12, 2022PECOS Enrolled

836 FARMINGTON AVE STE 109, WEST HARTFORD, CT 06119(203) 691-1685(203) 891-6763 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Apr 10, 2025, Mar 17, 2025 and 1 more (4 updates tracked since 2022).

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About Jacob Vicente Dnp, Pmhnp-bc NPPES

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

JACOB VICENTE DNP, PMHNP-BC (NPI 1316689078) is an individual psychiatric/mental health provider in West Hartford, Connecticut, licensed in Connecticut (14685) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316689078

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJACOB VICENTECredential: DNP, PMHNP-BC

Location Address836 FARMINGTON AVE STE 109West Hartford, CT 06119-1544

Mailing Address836 Farmington Ave Ste 109West Hartford, CT 06119-1544 · (203) 691-1685 · Fax (203) 891-6763

Phone(203) 691-1685

Fax(203) 891-6763

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 12, 2022

Last NPPES UpdateJune 24, 20254 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1316689078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CT · 14685✔ Licensed in MA · RN2309147

Also ListedRegistered Nurse · HemodialysisTaxonomy 163WH0500X · License RN2309147 (MA)

836 FARMINGTON AVE STE 109, West Hartford, CT 06119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Vicente Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476020462

PECOS Enrollment IDI20260428000466

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 06119 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW LLOYD LPC-A

Counselor (Professional)

836 FARMINGTON AVE STE 109
WEST HARTFORD, CT 06119

Capitol Planning Region (203) 691-1685

MICHAEL VANCE WOOD APRN

Nurse Practitioner (Psychiatric/Mental Health)

836 FARMINGTON AVE STE 109
WEST HARTFORD, CT 06119

Capitol Planning Region (203) 691-1685

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 Jacob Vicente's NPI number?

The NPI number for Jacob Vicente is 1316689078. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Jacob Vicente located?

Jacob Vicente practices at 836 Farmington Ave Ste 109, West Hartford, CT 06119. The listed phone number is (203) 691-1685.

What is Jacob Vicente's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Vicente enrolled in Medicare?

Yes. Jacob Vicente is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Vicente accept?

Health plans from Providence Health Plan list Jacob Vicente 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 Jacob Vicente was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.