Individual provider Active NPI

Jessica Hannoushe, FNP

  • Dermatology Physician
  • New Windsor, NY
National Provider Identifier
1184436099
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
355866 Issued in NY
Practice address
819 Little Britain Rd
New Windsor, NY 12553-5518
Phone
(845) 500-1985
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355866 NY
Dermatology Physician 207N00000X 355866 NY Primary

Addresses

Primary practice location

819 Little Britain Rd
New Windsor, NY 12553-5518

Mailing address

819 Little Britain Rd
New Windsor, NY 12553-5518
Phone (845) 500-1985

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
I20260211001102 NY Practitioner - Nurse Practitioner 8820577638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Windermere Ave
Greenwood Lake, NY 10925-2102

5 Old Windsor Rd
Suite 197
New Windsor, NY 12553-5603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
355866NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
F P Murphy MD PC Dermatology CurrentSince Jan 6, 2026 Accepting new patients

Locations

367 Windsor Hwy
#197
New Windsor, NY 12553

819 Little Britain Rd
Ste 100
New Windsor, NY 12553
Phone 8455001985 ext. 1

Organizations & group practices 1

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": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1184436099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 LITTLE BRITAIN RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535518",
            "telephone_number": "845-500-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 LITTLE BRITAIN RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535518",
            "telephone_number": "845-500-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNOUSHE",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355866",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "355866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.