Jillian T Crowley, PA-C
Physician Assistant in Bloomfield, CT. Individual provider (NPI-1).
NPI number1992902977
StatusActive
Last updated in NPPESNov 20, 2021
Details
- NPI
- 1992902977
- Entity type
- Individual (NPI-1)
- Name
- Jillian T Crowley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2007
- Certification date
- Nov 20, 2021
- Last updated
- Nov 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 003326 | CT | Yes |
| 363A00000X | Physician Assistant | 8042 | AZ |
Practice location
711 Cottage Grove RdBloomfield, CT 06002-3060
Phone 860-242-8756 · Fax 860-242-3052
Mailing address
1290 Silas Deane HwyHartford Healthcare-Cvo
Wethersfield, CT 06109-4337
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