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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174097331

Jeong Mi Pak, APRN is a Nurse Practitioner in Farmington, Connecticut. Qualified in 2018, 8 years ago. Practices with Step Up Care PC LLC, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Florida, New Jersey and Nevada.

Years since qualifying
8
Licensed in
CT, FL, NJ, NV
In the registry since
2019
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1053 Farmington Ave # 110
Farmington, CT 06032-1574
Phone: (860) 470-4671
Fax: (860) 808-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11-13 Sunflower Ave, Paramus, NJ 07652-3700 — (855) 505-2880

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8209 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 816263 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ01120900 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 11005195 (FL)

Record details

NPI number1174097331
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 21, 2019
Last updated in NPPESAugust 2, 2026
Certification dateAugust 2, 2026
Mailing address574 Willis St, Bristol, CT 06010-7267

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Step Up Care Pc Llc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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