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

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