DR. MARY BETH JANICKI (M.D.) – Maternal & Fetal Medicine Physician, NPI 1407947526
Maternal & Fetal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
827 OBSTETRICS/GYNECOLOGY in CT
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Provider Addresses for DR. MARY BETH JANICKI (M.D.)
1000, Asylum Avenue, Asylum Avenue District Historic District, Hartford, Hartford County, Connecticut, 06105, United States
2109A
HARTFORD, CT 061051770
Phone: (860) 714-6581
Fax: (860) 714-8311
Type: Mailing
Saint Francis Hospital and Medical Center, 114, Woodland Street, Upper Albany Historic District, Hartford, Hartford County, Connecticut, 06105, United States
HARTFORD, CT 061051208
Phone: (860) 714-4595
Fax: (860) 714-8008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061013000035 | I | Obstetrics/Gynecology | CT | TBD |
| I20220408000972 | I | Obstetrics/Gynecology | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| - | MA | |
| Diagnostic Radiology | MA | |
| - | NY | |
| - | MA | |
| - | MA | |
| - | CT | |
| Physician Assistant | MA | |
| P O D I A T R Y | MA | |
| Physician Assistant | MA |
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