DR. JENNIFER R BALLEW (D.O., PH.D.) – Psychiatry Physician, NPI 1750301925
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 PSYCHIATRY in CT
Provider Addresses for DR. JENNIFER R BALLEW (D.O., PH.D.)
100 GRAND ST
NEW BRITAIN, CT 060522016
Phone: (860) 224-5285
Fax: (860) 224-5734
Type: Location
1290 SILAS DEANE HWY
HHC-CVO
WHETHERSFIELD, CT 061094337
Phone: (860) 972-5507
Fax: (860) 972-7040
Type: Mailing
Brattleboro Post Office, 204, Main Street, Brattleboro Downtown Historic District, Brattleboro, Windham County, Vermont, 05301, United States
BRATTLEBORO, VT 053021951
Phone: (203) 784-8700
Fax: (203) 784-8703
Type: Mailing
Yale New Haven Hospital Saint Raphael Campus, 1450, Chapel Street, Dwight Street Historic District, New Haven, New Haven County, Connecticut, 06511, United States
NEW HAVEN, CT 06511
Phone: (203) 784-8700
Fax: (203) 784-8703
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: 2005-01-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050121000120 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 06052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CT | |
| - | CT | |
| - | CT | |
| - | CT | |
| - | CT | |
| - | CT | |
| Emergency Medicine, Critical Care (Intensivists), Internal Medicine | CT | |
| Clinical Social Worker | CT | |
| - | CT | |
| - | CT |
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