Individual provider Active NPI

Jennifer Renelle Osbourne, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1154766467
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
285407 Issued in NY
Practice address
3801 North Blvd
Baton Rouge, LA 70806-3825
Phone
(225) 387-7899
Fax
(225) 381-2579
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 285407 NY Primary

Addresses

Primary practice location

3801 North Blvd
Baton Rouge, LA 70806-3825

Mailing address

2800 Marcus Avenue
New Hyde Park, NY 11042
Phone (516) 622-6000

Other names 1

  • Jennifer Renelle Winchester Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160916001861 NY Practitioner - Family Practice 0547557662 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

16450 Crossbay Blvd
FL 2
Howard Beach, NY 11414-3749
Phone (718) 622-7405

2640 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 537-9064

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Urgent Care, PLLC CurrentSince Jul 22, 2016 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Sep 5, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 4, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 4, 2023 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Oct 11, 2022 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2640 Merrick Rd
Bellmore, NY 11710
Phone (516) 537-9064

330 Court St
Brooklyn, NY 11231
Phone (347) 335-0062

4108 Avenue U
Brooklyn, NY 11234
Phone (718) 252-2581

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

683 Sunrise Hwy
Lynbrook, NY 11563
Phone (516) 441-2155

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: jennifer.osbourne@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: josbourne18645@direct.optum.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1154766467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-622-6000",
            "fax_number": "516-622-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063825",
            "telephone_number": "225-387-7899",
            "fax_number": "225-381-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "JENNIFER",
        "middle_name": "RENELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "285407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WINCHESTER",
            "middle_name": "RENELLE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.