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JESSICA FONSECA APRN
NPI 1619854965
Nurse Practitioner - Family in Farmington, CT

Active since August 19, 2025PECOS EnrolledAccepts Medicare Assignment
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-4100(860) 679-3385 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 6, 2026, Sep 16, 2025, Sep 9, 2025 (3 updates tracked since 2025).

About Jessica Fonseca Aprn NPPES

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

JESSICA FONSECA APRN (NPI 1619854965) is an individual family provider in Farmington, Connecticut, licensed in Connecticut (12.015030) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Hartford, and is a graduate of University Of Connecticut School Of Medicine (2025).

NPPES Registry Identity

NPI1619854965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA FONSECACredential: APRN
Location Address263 FARMINGTON AVEFarmington, CT 06030-8036
Mailing Address39 Fennbrook RdWest Hartford, CT 06119-2205
Phone(860) 679-4100
Fax(860) 679-3385
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2025
Enumeration DateAugust 19, 2025
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1619854965 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 · 12.015030
263 FARMINGTON AVE, Farmington, CT 06030
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Amanda Petruska

Secondary Practice Location 1

Location 165 Kane StreetWest Hartford, CT 06119-2110 · Phone (860) 679-4100 · Fax (860) 679-3385

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 Fonseca Aprn 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 ID4587152731
PECOS Enrollment IDI20251021002027
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 06030 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 20

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

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

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 Fonseca's NPI number?

The NPI number for Jessica Fonseca is 1619854965. It was assigned to this individual provider in the NPPES registry on August 19, 2025. The provider is also known as Jessica Amanda Petruska.

Where is Jessica Fonseca located?

Jessica Fonseca practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-4100.

What is Jessica Fonseca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Fonseca enrolled in Medicare?

Yes. Jessica Fonseca 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 Fonseca was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.