KATHRYN E JACK (APRN) – Adult Health Nurse Practitioner, NPI 1265456347
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
Loading map...
Provider Addresses for KATHRYN E JACK (APRN)
2139, Silas Deane Highway, Rocky Hill, Hartford County, Connecticut, 06067, United States
ROCKY HILL, CT 060672336
Phone: (860) 257-4131
Fax: (860) 257-4519
Type: Mailing
455, Lewis Avenue, Meriden, New Haven County, Connecticut, 06451, United States
SUITE 106
MERIDEN, CT 064512121
Phone: (203) 886-0036
Fax: (203) 886-0072
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $29,143.
Total Amount is formed as General ($29,143) + Research ($0) + Ownership ($0) = $29,143.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($11,471).
Total Amount
$29,143
General + Research + Ownership
Payments
127
Total payment records
General Amount
$29,143
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $11,471 |
| Madrigal Pharmaceuticals | $5,465 |
| Evoke Pharma, Inc. | $4,785 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $3,224 |
| ABBVIE INC. | $1,182 |
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: 2006-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061013000402 | I | Nurse Practitioner | CT | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 16 | $0 |
Insurance plans in this area (ZIP 06067)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| Gastroenterology, Internal Medicine | CT | |
| - | NY | |
| Nurse Practitioner | CT | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| G A S T R O E N T E R O L O G Y | CT | |
| P A T H O L O G Y | WA | |
| Internal Medicine, Gastroenterology | CT | |
| Physician Assistant | CT | |
| Certified Registered Nurse Anesthetist (Crna) | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.