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JAKE PETILLO
NPI 1982474482
Nurse Practitioner in New Britain, CT

Active since January 05, 2024PECOS EnrolledAccepts Medicare Assignment
100 GRAND ST, NEW BRITAIN, CT 06052(860) 224-5011 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jake Petillo NPPES

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

JAKE PETILLO (NPI 1982474482) is an individual nurse practitioner in New Britain, Connecticut, licensed in Connecticut (12761) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982474482
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAKE PETILLO
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address245 W Center StSouthington, CT 06489-3550 · (203) 217-3143
Phone(860) 224-5011
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 5, 2024
NPPES CertifiedAugust 9, 2023
✔ NPI 1982474482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 12761
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.
100 GRAND ST, New Britain, CT 06052
Open in Google Maps ↗

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

Jake Petillo 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 ID1456792134
PECOS Enrollment IDI20240513000965
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 Reassignments

4

Medicare enrollment records show Jake Petillo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Hospital Of Central Connecticut At New Britain General And Bradley
Same address
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
NPI 1063461481 (860) 224-5305
Midstate Medical Center
7.8 mi
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
NPI 1154425288 (860) 696-6287
Hartford Healthcare Medical Group Specialists, PLLC
8.4 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071
Hartford Hospital
8.5 mi
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
NPI 1407806391 (860) 545-7602

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 06052 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.

MISS NIRMALA BHATT MD
Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
MUHAMMAD YASIR ANWAR MBBS
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. ALEXANDER VDOVENKO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5584
MS. KORTNEY ROSE RIBBECK PA-C
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
SHEILA SANTHAPPA M.D.
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (608) 224-5305
MS. ELLEN ROSENBERG LMSW
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5285
DR. LOUIS GRAFF IV M.D.
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5774
WANDA M KIREJCZYK MD
Radiology (Diagnostic Radiology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 225-5556

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 Jake Petillo's NPI number?

The NPI number for Jake Petillo is 1982474482. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Jake Petillo located?

Jake Petillo practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 224-5011.

What is Jake Petillo's specialty?

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

Is Jake Petillo enrolled in Medicare?

Yes. Jake Petillo 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 organizations bill Medicare for Jake Petillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Petillo reassigns Medicare benefits to 4 organizations: The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Midstate Medical Center (Meriden, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Hartford Hospital (Hartford, CT). Each 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 Jake Petillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jake Petillo was last updated on January 5, 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.