Jacob Vicente, DNP, PMHNP-BC - Medicare Nurse Practitioner in West Hartford, CT

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Jacob Vicente, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Hartford, Connecticut. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Holistic Health And Healing Center Llc and his current practice location is 836 Farmington Ave Ste 109, West Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 691-1685.

Jacob Vicente is licensed to practice in Connecticut (license number 14685) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316689078.

Contact Information

Jacob Vicente, DNP, PMHNP-BC
836 Farmington Ave Ste 109,
West Hartford, CT 06119-1544
(203) 691-1685
(203) 891-6763

Map and Direction




Provider's Profile

Full NameJacob Vicente
GenderMale
SpecialityNurse Practitioner
Experience2 Years
Location836 Farmington Ave Ste 109, West Hartford, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Vicente graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1316689078
  • Provider Enumeration Date: 04/12/2022
  • Last Update Date: 06/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3476020462
  • Enrollment ID: I20260428000466

Medical Identifiers

Medical identifiers for Jacob Vicente such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316689078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WH0500XRegistered Nurse - Hemodialysis RN2309147 (Massachusetts)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN2309147 (Massachusetts)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 14685 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holistic Health And Healing Center Llc15577744866

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. Jacob Vicente allows following entities to bill medicare on his behalf.
Entity NameHolistic Health & Healing Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659728012
PECOS PAC ID: 1557774486
Enrollment ID: O20210113001757

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. Jacob Vicente 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
Jacob Vicente, DNP, PMHNP-BC
836 Farmington Ave Ste 109,
West Hartford, CT 06119-1544

Ph: (203) 691-1685		Jacob Vicente, DNP, PMHNP-BC
836 Farmington Ave Ste 109,
West Hartford, CT 06119-1544

Ph: (203) 691-1685

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.