Collaborative Medicine LLC
NPI 1063137511 · Family Nurse Practitioner · Canton, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collaborative Medicine LLC is a Family Nurse Practitioner organization in Canton, CT (NPI 1063137511).
Provider details
- NPI number
- 1063137511
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Cannon, Owner(860) 935-6680
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 78 Pine Hill RdBurlington, CT 06013-2303Phone: (203) 910-1577
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Frequently asked questions
- What is Collaborative Medicine LLC's NPI number?
- Collaborative Medicine LLC's National Provider Identifier (NPI) is 1063137511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collaborative Medicine LLC?
- Collaborative Medicine LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Collaborative Medicine LLC located?
- Collaborative Medicine LLC's practice location on file with NPPES is 166 Albany Tpke Ste 7, Canton, CT 06019-2546.
- What is Collaborative Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Collaborative Medicine LLC is (860) 935-6680.
- Does Collaborative Medicine LLC accept Medicare?
- Collaborative Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Collaborative Medicine LLC?
- The authorized official listed on Collaborative Medicine LLC's NPPES record is Jennifer Cannon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collaborative Medicine LLC's NPI active?
- Yes — Collaborative Medicine LLC's NPI (1063137511) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.