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JEREZEM SISON FEGLEY NP
NPI 1700412111
Nurse Practitioner in West Haven, CT

Active since March 17, 2020PECOS Enrolled
950 CAMPBELL AVE, WEST HAVEN, CT 06516(203) 932-5711 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Nov 29, 2021, Mar 17, 2020 (3 updates tracked since 2020).

About Jerezem Sison Fegley Np NPPES

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

JEREZEM SISON FEGLEY NP (NPI 1700412111) is an individual nurse practitioner in West Haven, Connecticut, licensed in Connecticut (10250) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700412111
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJEREZEM SISON FEGLEYCredential: NP
Location Address950 CAMPBELL AVEWest Haven, CT 06516-2770
Mailing Address555 Willard AveNewington, CT 06111-2631 · (860) 666-6951
Phone(203) 932-5711
Sole ProprietorNo
Enumeration DateMarch 17, 2020
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1700412111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 10250
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 345768 (NY)
950 CAMPBELL AVE, West Haven, CT 06516
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Secondary Practice Locations 3

Location 1117 Foote AveJamestown, NY 14701-6947 · Phone (716) 338-9200 · Fax (716) 338-9250
Location 2555 Willard AveNewington, CT 06111-2631 · Phone (860) 666-6951
Location 3300 Seymour Ave Ste 202Derby, CT 06418-1343 · Phone (203) 732-2651

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerezem Sison Fegley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06516 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.

LESLIE TANQUILUT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
NICHOLAS ANDREW VISSICCHIO PH.D.
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DEVON MACKAY LMSW
Social Worker
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MR. JAMES MICHAEL ALEKSUNES
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MRS. TRACEY PASCARELLA RD
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DR. ANTHONY JAMES LISI D.C.
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. EVANGELINE BENOIT
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. MELISSA ANN SIMONE LCSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (860) 694-4875

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 Jerezem Fegley's NPI number?

The NPI number for Jerezem Fegley is 1700412111. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Jerezem Fegley located?

Jerezem Fegley practices at 950 Campbell Ave, West Haven, CT 06516. The listed phone number is (203) 932-5711.

What is Jerezem Fegley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jerezem Fegley enrolled in Medicare?

Yes. Jerezem Fegley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerezem Fegley was last updated on October 4, 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.