Individual provider Active NPI

Jessa Irene Dauria, ARNP

  • Adult Health Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1013244722
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60116854 Issued in WA
Practice address
217 N Aurora St
Ithaca, NY 14850-4345
Phone
(607) 273-2811
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60116854 WA Primary

Addresses

Primary practice location

217 N Aurora St
Ithaca, NY 14850-4345

Mailing address

218 S Albany St
Apt 2
Ithaca, NY 14850-5404
Phone (206) 724-2305

Other identifiers 1

IdentifierTypeStateIssuer
9664202MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511002382 NY Practitioner - Nurse Practitioner 9537295175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Internal Medicine of Ithaca PLLCGroup PAC ID 0244504405, 5 clinicians

Practice addresses (Care Compare)

217 N Aurora St
Suite 2
Ithaca, NY 14850-4345
Phone (607) 256-8869

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60116854WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Internal Medicine of Ithaca, PLLC CurrentSince Feb 3, 2026 Accepting new patients
Ann R Costello PastSince Feb 3, 2026 Accepting new patients

Locations

217 N Aurora St
Ste 2
Ithaca, NY 14850
Phone (607) 256-8869

217 N Aurora St
Ithaca, NY 14850
Phone (607) 256-8869

Interoperability endpoints

  • Direct secure messaging: jdauria@hiemail.healtheconnections.org
  • Direct secure messaging: jessa.dauria@costelloandcostellomds.chartmakerdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1013244722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S ALBANY ST",
            "address_2": "APT 2",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505404",
            "telephone_number": "206-724-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504345",
            "telephone_number": "607-273-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAURIA",
        "first_name": "JESSA",
        "middle_name": "IRENE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60116854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9664202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.