Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Braunworth, PA-C

Individual provider Physician Assistant · NPI 1649665936

Jacqueline Braunworth, PA-C is a Physician Assistant in Derby, Connecticut. Qualified in 2011, 15 years ago. Practices with Hartford Healthcare Urgent Care Centers LLC, a 203-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

68 Division St
Derby, CT 06418-1447
Phone: (203) 732-6802
Fax: (203) 732-6792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 385 W Main St, Avon, CT 06001-4357 — (860) 777-1280
  • 220 Main St Ste 1a, Oxford, CT 06478-1065 — (203) 888-5527

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 003273 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 003273 (CT)

Record details

NPI number1649665936
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Hartford Healthcare Urgent Care Centers Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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