Jennifer L Driessen

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309959 Issued in NY

Practice address

100 Saint Camillus Way
Fairport, NY 14450-8500

Phone

(585) 377-4000

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Medicare reassignment NPD
• Highland Hospital of Rochester

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1740220698
  NPD
• Highland Hospital of Rochester

  dba Highland Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1962725739
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1134718638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 CALM LAKE DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAINT CAMILLUS WAY",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508500",
            "telephone_number": "585-377-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIESSEN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Dow II, DDS, MS
• Lindsay Marie Dowd, MS, CCC-SLP
• Dr. Peter L. Kladstrup, D.C., P.C.
• Anita T. Drake, D.D.S.
• Emily Etta Drew, OTR/L
• Heather Marie Driscoll, OT
• Jessica N Dryer, CCC-SLP
• Kelsey Claire Duell
• Angela D Dumas, RN
• Robert E Dupre, DMD

• Adult Health Nurse Practitioner in Fairport, NY
• Providers in Fairport, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.