Individual provider Active NPI

Julia Christine Jacobson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1083170211
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F-343947-1 Issued in NY
Practice address
990 South Ave Ste 103
Rochester, NY 14620-2740
Phone
(585) 341-0101
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 657042 NY
Family Nurse Practitioner 363LF0000X F-343947-1 NY Primary

Addresses

Primary practice location

990 South Ave Ste 103
Rochester, NY 14620-2740

Mailing address

2 Southcross TRL
Fairport, NY 14450-3229
Phone (585) 233-1653

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
I20190423002324 NY Practitioner - Nurse Practitioner 1254673288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1160 Corporate Dr
Farmington, NY 14425-9534
Phone (585) 924-1510

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

699 S Main St
Suite 5
Canandaigua, NY 14424-2208
Phone (585) 396-6050

800 W Miller St
Suite 11
Newark, NY 14513-1354
Phone (315) 226-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
657042NYMDRegistered Nurse
F-343947-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince May 6, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince May 6, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2022 Accepting new patients
Highlands Womens Health CurrentSince Apr 1, 2019 Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

4923 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 926-6358

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734

990 South Ave
Ste 103
Rochester, NY 14620
Phone (585) 232-3210

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: jjacobson43106@direct.urmc.rochester.edu

Organizations & group practices 4

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1083170211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTHCROSS TRL",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503229",
            "telephone_number": "585-233-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE STE 103",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202740",
            "telephone_number": "585-341-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JULIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F-343947-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.