Individual provider Active NPI

Jesse Bernard Denardin, AGPC-NP

  • Adult Health Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1114653250
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310807 Issued in NY
Practice address
4949 Harlem Rd Ste 404
Amherst, NY 14226-2500
Phone
(716) 839-1690
NPI assigned
Jul 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 310807 NY Primary

Addresses

Primary practice location

4949 Harlem Rd Ste 404
Amherst, NY 14226-2500

Mailing address

4949 Harlem Rd Ste 404
Amherst, NY 14226-2500
Phone (716) 839-1690

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
I20221130000320 NY Practitioner - Nurse Practitioner 3072858265 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Medical Practice PLLCGroup PAC ID 5991199804, 25 clinicians

Practice addresses (Care Compare)

4949 Harlem Rd
Suite 404
Amherst, NY 14226-2500
Phone (716) 839-1690

564 Niagara St
BLDG 2
Buffalo, NY 14201-1108
Phone (716) 882-0366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310807NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Denardin Adult Health NP PLLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Denardin Family Practice PLLC Single Specialty CurrentSince Jul 1, 2014 Accepting new patients
Urban Family Practice PC Single Specialty CurrentSince Dec 4, 2023 Accepting new patients
Care Medical Practice PLLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788

4949 Harlem Rd
Ste 404
Buffalo, NY 14226
Phone (716) 839-1690

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

Interoperability endpoints

  • Direct secure messaging: jdenardin@dnfp.medentdirect.com
  • Direct secure messaging: jdenardin@cinq-nyipa.medentdirect.com
  • Direct secure messaging: jesse.denardin@caremedicalpractice.medentdirect.com

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 8

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": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1114653250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD STE 404",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-839-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD STE 404",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-839-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARDIN",
        "first_name": "JESSE",
        "middle_name": "BERNARD",
        "credential": "AGPC-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.