JACLYN MARIE VITKOVSKY – Psychiatric/Mental Health Nurse Practitioner, NPI 1508472259
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for JACLYN MARIE VITKOVSKY
167 Cherry St # 101
Milford, CT 064603466
Phone: (203) 524-2000
Type: Location
79 WOODSIDE CT
WATERTOWN, CT 067951152
Phone: (203) 232-5397
Type: Mailing
503 NEW HARWINTON RD
TORRINGTON, CT 067905845
Phone: (914) 552-2868
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $793.
Total Amount is formed as General ($793) + Research ($0) + Ownership ($0) = $793.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($607).
Total Amount
$793
General + Research + Ownership
Payments
51
Total payment records
General Amount
$793
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $607 |
| ITI, Inc. | $125 |
| Otsuka America Pharmaceutical, Inc. | $44 |
| Teva Pharmaceuticals USA, Inc. | $17 |
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: 2021-01-05
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 |
|---|---|---|---|---|
| I20210105000609 | 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 |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 142 | 33 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 49 | 23 | $0 |
Insurance plans in this area (ZIP 06460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CT |
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