Jacquelyn G Blaber, APRN, FNP-C - Nurse Practitioner in Southport, CT

  1. Home
  2. Nurse Practitioner
  3. CT
  4. Southport
Jacquelyn G Blaber, APRN, FNP-C is a Nurse Practitioner - Family based in Southport, Connecticut. Jacquelyn G Blaber is licensed to practice in Connecticut (license number F11230482) and her current practice location is 840 Flintlock Rd, Southport, Connecticut. She can be reached at her office (for appointments etc.) via phone at (973) 865-8578.

NPI number for Jacquelyn G Blaber is 1205602802 and her current mailing address is 840 Flintlock Rd, Southport, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205602802.

Contact Information

Jacquelyn G Blaber, APRN, FNP-C
840 Flintlock Rd,
Southport, CT 06890-3044
(973) 865-8578
Not Available

Map and Direction




Provider's Profile

Full NameJacquelyn G Blaber
GenderFemale
SpecialityNurse Practitioner - Family
Location840 Flintlock Rd, Southport, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205602802
  • Provider Enumeration Date: 11/27/2023
  • Last Update Date: 11/27/2023

Medical Identifiers

Medical identifiers for Jacquelyn G Blaber such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205602802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F11230482 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn G Blaber is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacquelyn G Blaber, APRN, FNP-C
840 Flintlock Rd,
Southport, CT 06890-3044

Ph: (973) 865-8578		Jacquelyn G Blaber, APRN, FNP-C
840 Flintlock Rd,
Southport, CT 06890-3044

Ph: (973) 865-8578

Reviews and Comments


Nurse Practitioner Nurses in Southport, CT

Ms. Maria Vittoria Carnevale, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 Flintlock Rd, Southport, CT 06890
Phone: 203-382-1188    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.