Individual provider Active NPI

Jennifer Kittell

  • Midwife
  • Gansevoort, NY
National Provider Identifier
1134476492
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001495 Issued in NY
Practice address
665 Saratoga Rd
Suite 100
Gansevoort, NY 12831-1599
Phone
(518) 363-8815
Fax
(518) 363-8831
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001495 NY Primary

Addresses

Primary practice location

665 Saratoga Rd
Suite 100
Gansevoort, NY 12831-1599

Mailing address

PO Box 1368
Albany, NY 12201-1368
Phone (518) 363-8815

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005000965 NY Practitioner - Certified Nurse Midwife (CNM) 0143538504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

665 Saratoga Rd
Suite 100
Gansevoort, NY 12831-1691
Phone (518) 886-5108

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001495NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Regional Medical , P.C CurrentSince Mar 1, 2015 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Mar 1, 2015 Accepting new patients
Saratoga Hospital CurrentSince Jul 2, 2023 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Jul 2, 2023 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

665 Saratoga Rd
Ste 100
Wilton, NY 12831
Phone (518) 363-8815

Interoperability endpoints

  • Direct secure messaging: jkittell99584@albanymed.direct-ci.com

Organizations & group practices 8

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1134476492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122011368",
            "telephone_number": "518-363-8815",
            "fax_number": "518-363-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 SARATOGA RD",
            "address_2": "SUITE 100",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311599",
            "telephone_number": "518-363-8815",
            "fax_number": "518-363-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTELL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gansevoort, NY

Sources for this page

Verify at the official NPI Registry.