DR. JOANNA BOBACK (DNP, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1225720121

DR. JOANNA BOBACK (DNP, APRN, FNP-BC) is a healthcare provider. based in Bridgeport, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, FNP-BC. They hold a License No. 12028 (CT). The NPI Number for DR. JOANNA BOBACK (DNP, APRN, FNP-BC) is 1225720121

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOANNA BOBACK (DNP, APRN, FNP-BC)
NPI
1225720121
Phone
Not provided
Address
399 MILL HILL AVE
Enumeration Date
22 May 2023
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033323505
Graduation Year
2023 (3 years ago)
PAC ID
9032563226
Group Practice PAC ID
2466445200
Professional Enrollment ID
I20230921001711
Address ID
CT066052602BR46XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for DR. JOANNA BOBACK (DNP, APRN, FNP-BC)

  • 399 MILL HILL AVE

    BRIDGEPORT, CT 066102865

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $2,601.

Total Amount is formed as General ($2,601) + Research ($0) + Ownership ($0) = $2,601.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($527).

Total Amount

$2,601

General + Research + Ownership

Payments

62

Total payment records

General Amount

$2,601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230921001711INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466445200View full group profile
NameSpecialtyState
Nurse PractitionerCT
Internal MedicineNY
Family PracticeCT
Clinical Social WorkerCT
-CT
Physician AssistantCT
-CT
Mental Health CounselorCT
Internal MedicineCT
-CT

Reviews

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Frequently asked questions

What federal number belongs to DR. JOANNA BOBACK (DNP, APRN, FNP-BC)?
The federal identifier for DR. JOANNA BOBACK (DNP, APRN, FNP-BC) is NPI 1225720121.
Does this profile mean DR. JOANNA BOBACK (DNP, APRN, FNP-BC) is currently active?
Yes — DR. JOANNA BOBACK (DNP, APRN, FNP-BC) appears active in the national provider directory.
Can you summarize DR. JOANNA BOBACK (DNP, APRN, FNP-BC)'s specialty in plain language?
Clinically, the directory lists DR. JOANNA BOBACK (DNP, APRN, FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DR. JOANNA BOBACK (DNP, APRN, FNP-BC) practice in Connecticut?
You will see Bridgeport, Connecticut on file for DR. JOANNA BOBACK (DNP, APRN, FNP-BC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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