JESSICA MARIE NEWBURY
NPI 1790543486
Nurse Practitioner - Family in Waterbury, CT

Active since March 08, 2024PECOS EnrolledAccepts Medicare Assignment
80 PHOENIX AVE, WATERBURY, CT 06702(203) 756-8021 Get Directions Write a Review

NPPES record last updated: October 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2024, Mar 8, 2024 (2 updates tracked since 2024).

About Jessica Marie Newbury NPPES

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

JESSICA MARIE NEWBURY (NPI 1790543486) is an individual family provider in Waterbury, Connecticut, licensed in Connecticut (12947) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canaan, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790543486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA MARIE NEWBURY
Location Address80 PHOENIX AVEWaterbury, CT 06702-1418
Mailing Address1302 S Main StWaterbury, CT 06706-1748 · (203) 756-8021
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 8, 2024
Last NPPES UpdateOctober 27, 20242 updates tracked since enumeration
NPPES CertifiedOctober 27, 2024
✔ NPI 1790543486 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 · 12947
80 PHOENIX AVE, Waterbury, CT 06702

Secondary Practice Location 1

Location 1187 S Canaan RdCanaan, CT 06018-2544 · Phone (860) 824-1397

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Marie Newbury 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 ID3476993502
PECOS Enrollment IDI20240506003632
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Newbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
80 PHOENIX AVE
Waterbury, CT 06702
  • Reassigned Medicare billing, Connecticut enrollment
  • 97 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 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.

Dentist
80 PHOENIX AVE, SUITE 305
WATERBURY, CT 06702
Internal Medicine
80 PHOENIX AVE, SUITE 303
WATERBURY, CT 06702
Nurse Practitioner (Family)
80 PHOENIX AVE
WATERBURY, CT 06702
Social Worker
80 PHOENIX AVE
WATERBURY, CT 06702
Nurse Practitioner (Family)
80 PHOENIX AVE
WATERBURY, CT 06702
Social Worker (Clinical)
80 PHOENIX AVE, SUITE 201
WATERBURY, CT 06702
Family Medicine
80 PHOENIX AVE
WATERBURY, CT 06702
Dentist
80 PHOENIX AVE, SUITE 305
WATERBURY, CT 06702

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 Newbury's NPI number?

The NPI number for Jessica Newbury is 1790543486. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Jessica Newbury located?

Jessica Newbury practices at 80 Phoenix Ave, Waterbury, CT 06702. The listed phone number is (203) 756-8021.

What is Jessica Newbury's specialty?

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

Is Jessica Newbury enrolled in Medicare?

Yes. Jessica Newbury 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.

Which organization bills Medicare for Jessica Newbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Newbury reassigns Medicare benefits to Staywell Health Care, Inc. (Waterbury, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Newbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Newbury accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica Newbury 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 Jessica Newbury was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.