Individual provider Active NPI

Allyson Marie Jessen, APRN, AGPCNP

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1124736087
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311064 Issued in NY
Practice address
4770 White Plains Rd
Bronx, NY 10470-1136
Phone
(718) 931-9700
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 Practitioner 363LA2200X 311064 NY Primary

Addresses

Primary practice location

4770 White Plains Rd
Bronx, NY 10470-1136

Mailing address

813 N Rose St
Burbank, CA 91505-2734
Phone (818) 391-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221216001945 NY Practitioner - Nurse Practitioner 7012386857 Reassigns benefits to 3 organizations
I20251230003198 CA Practitioner - Nurse Practitioner 7012386857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1808 Verdugo Blvd
Suite 414
Glendale, CA 91208-1474
Phone (818) 265-5400

2750 Sycamore Dr
Simi Valley, CA 93065-1500

Hospital & facility affiliations

  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311064NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 Accepting new patients
Patient First Medical Practice PC CurrentSince May 31, 2023 Accepting new patients
Nodar Janas MD PC CurrentSince Jun 21, 2023 Accepting new patients
Medical Director Services PC CurrentSince Aug 31, 2022 Accepting new patients
Glendale Adventist Medical Center CurrentSince Dec 10, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 Accepting new patients
Glendale Adventist Medical Center CurrentSince Dec 10, 2025 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

Organizations & group practices 10

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 2

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1124736087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N ROSE ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052734",
            "telephone_number": "818-391-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701136",
            "telephone_number": "718-931-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "ALLYSON",
        "middle_name": "MARIE",
        "credential": "APRN, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.