JACLYN MARIE VITKOVSKY
NPI 1508472259
Nurse Practitioner - Psychiatric/Mental Health in Torrington, CT

Active since September 18, 2020PECOS Enrolled
503 NEW HARWINTON RD, TORRINGTON, CT 06790(914) 552-2868 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2020, Sep 18, 2020 (2 updates tracked since 2020).

About Jaclyn Marie Vitkovsky NPPES

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

JACLYN MARIE VITKOVSKY (NPI 1508472259) is an individual psychiatric/mental health provider in Torrington, Connecticut, licensed in Connecticut (9168) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milford, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508472259
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACLYN MARIE VITKOVSKY
Location Address503 NEW HARWINTON RDTorrington, CT 06790-5845
Mailing Address79 Woodside CtWatertown, CT 06795-1152 · (203) 232-5397
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 18, 2020
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1508472259 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
License Licensed in CT · 9168
Also ListedRegistered NurseTaxonomy 163W00000X · License 107346 (CT)
503 NEW HARWINTON RD, Torrington, CT 06790

Secondary Practice Location 1

Location 1167 Cherry St # 101Milford, CT 06460-3466 · Phone (203) 524-2000

Accepted 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)

Jaclyn Marie Vitkovsky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931512399
PECOS Enrollment IDI20210105000609
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
115 services33 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
35 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06790 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.

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 Jaclyn Vitkovsky's NPI number?

The NPI number for Jaclyn Vitkovsky is 1508472259. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Jaclyn Vitkovsky located?

Jaclyn Vitkovsky practices at 503 New Harwinton Rd, Torrington, CT 06790. The listed phone number is (914) 552-2868.

What is Jaclyn Vitkovsky's specialty?

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

Is Jaclyn Vitkovsky enrolled in Medicare?

Yes. Jaclyn Vitkovsky is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Vitkovsky accept?

Health plans from Providence Health Plan list Jaclyn Vitkovsky 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 Jaclyn Vitkovsky was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.