Individual provider Active NPI

Jessica Chen, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1033783949
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357764 Issued in NY
Practice address
837 59TH St
Brooklyn, NY 11220-5576
Phone
(718) 680-8881
NPI assigned
May 14, 2021
Reactivated
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 357764 NY Primary

Addresses

Primary practice location

837 59TH St
Brooklyn, NY 11220-5576

Mailing address

837 59TH St
Brooklyn, NY 11220-5576
Phone (718) 680-8881

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
I20260205003573 NY Practitioner - Nurse Practitioner 2365921764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

837 59TH St
Brooklyn, NY 11220-5576

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
357764NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Four Season Medical PLLC Family CurrentSince Nov 28, 2025 Accepting new patients

Locations

837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415

7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

837 59th St
Fl 5
Brooklyn, NY 11220
Phone (646) 532-7746

13620 38th Ave
Ste 7J
Flushing, NY 11354
Phone (347) 506-0765

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1033783949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205576",
            "telephone_number": "718-680-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205576",
            "telephone_number": "718-680-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JESSICA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "deactivation_date": "2021-08-23",
        "reactivation_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.