Mrs Jacqueline Marisol Murillo, DNP- APRN - Medicare Nurse Practitioner in Middlebury, CT

Mrs Jacqueline Marisol Murillo, DNP- APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Middlebury, Connecticut. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Revive Wellness Llc, Wct Behavioral Health And Medication Management Pllc and her current practice location is 456 Three Mile Hill Rd, Middlebury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 850-0758.

Mrs Jacqueline Marisol Murillo is licensed to practice in Connecticut (license number 0000000000000000) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962179275.

Contact Information

Mrs Jacqueline Marisol Murillo, DNP- APRN
456 Three Mile Hill Rd,
Middlebury, CT 06762-1713
(203) 850-0758
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Marisol Murillo
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location456 Three Mile Hill Rd, Middlebury, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jacqueline Marisol Murillo graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1962179275
  • Provider Enumeration Date: 08/24/2021
  • Last Update Date: 08/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103224530
  • Enrollment ID: I20211014002721

Medical Identifiers

Medical identifiers for Mrs Jacqueline Marisol Murillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962179275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 0000000000000000 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Revive Wellness Llc26688510642
Wct Behavioral Health And Medication Management Pllc882048073419

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jacqueline Marisol Murillo allows following entities to bill medicare on her behalf.
Entity NameInhouse Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598138943
PECOS PAC ID: 0648575258
Enrollment ID: O20160219000098
Entity NameWct Behavioral Health & Medication Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285391474
PECOS PAC ID: 8820480734
Enrollment ID: O20220126000469
Entity NameRevive Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235884073
PECOS PAC ID: 2668851064
Enrollment ID: O20220615000796

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Marisol Murillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacqueline Marisol Murillo, DNP- APRN
456 Three Mile Hill Rd,
Middlebury, CT 06762-1713

Ph: (203) 850-0758
Mrs Jacqueline Marisol Murillo, DNP- APRN
456 Three Mile Hill Rd,
Middlebury, CT 06762-1713

Ph: (203) 850-0758

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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