Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982474482 Individual Practitioner Male Practitioner

Jake Petillo

Nurse Practitioner • New Britain, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jake Petillo is a certified Nurse Practitioner practicing in New Britain, CT. With approximately 3 years of clinical experience since completing medical education in 2023, Jake Petillo delivers high-quality medical care to the local community at 100 GRAND ST.

Jake Petillo maintains professional affiliations with Hartford Healthcare Medical Group Specialists Pllc, The Hospital Of Central Connecticut At New Britain General And Bradley, Midstate Medical Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

100 Grand St

New Britain, CT 060522016

Telephone 8602245011
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in New Britain, CT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -8.7 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
23 Specialists

Practicing in New Britain, CT (941 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petillo (3 Years) 3 Yrs
New Britain Specialty Average (11.7 Years) 11.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-08-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CT 12761

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Midstate Medical Center

435 Lewis Ave, Meriden, CT 064512101

Phone: 2036948200

The Hospital Of Central Connecticut At New Britain General And Bradley

100 Grand St, New Britain, CT 060522016

Phone: 8602245121

Hartford Healthcare Medical Group Specialists Pllc

455 Lewis Ave, Meriden, CT 064512121

Phone: 2036947595

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Nirmala Bhatt , MD

Internal Medicine

NPI 1003104985

Doctor of Medicine (M.D.)

NPI 1003488727

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Kortney Ribbeck , PA-C

Physician Assistant - Medical

NPI 1003916206

Physician Assistant (Certified)

Sara Stranieri , PA-C

Physician Assistant - Surgical

NPI 1013691310

Physician Assistant (Certified)

Kristine Glenney , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033150859

Certified Registered Nurse Anesthetist

NPI 1043462880

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2024

Registered at 100 GRAND ST, NEW BRITAIN, CT 060522016 (Tel: 8602245011)

📍
Updated Business Mailing Address January 05, 2024

Registered at 245 W CENTER ST, SOUTHINGTON, CT 064893550 (Tel: 2032173143)

👤
Provider Name / Credentials Updated January 05, 2024

Recorded as JAKE PETILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2024

Nurse Practitioner (License #12761 in CT)

🟢
Initial NPI Registration & Enumeration January 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982474482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2024
Last Update: January 05, 2024
Sole Proprietor: Yes

Mailing Address

245 W Center St

Southington, CT 064893550

Phone: 2032173143

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.