Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Petillo

Individual provider Nurse Practitioner · NPI 1982474482

Jake Petillo is a Nurse Practitioner in New Britain, Connecticut. Qualified in 2023, 3 years ago. Practices with The Hospital of Central Connecticut at New Britain General and Bradley, a 392-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2024
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Practice location Address checks out

100 Grand St
New Britain, CT 06052-2016
Phone: (860) 224-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 12761 (CT)

Record details

NPI number1982474482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJanuary 5, 2024
Certification dateAugust 9, 2023
Mailing address245 W Center St, Southington, CT 06489-3550

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Hospital Of Central Connecticut At New Britain General And Bradley — 392 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Britain