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

Jessica Divanno, CRNP

Individual provider Nurse Practitioner · NPI 1477083996

Jessica Divanno, CRNP is a Nurse Practitioner in Sandy Hook, Connecticut. Qualified in 2016, 10 years ago. Practices with MSKCC Surgery Group, a 365-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2017
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

43 Jo Mar Dr
Sandy Hook, CT 06482-1210
Phone: (203) 240-8757
Fax: (203) 240-8757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP017375 (PA)

Record details

NPI number1477083996
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESJune 18, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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