Individual provider Active NPI

Jessica Ostrander

  • Family Nurse Practitioner
  • Sherrill, NY
National Provider Identifier
1184468068
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354556 Issued in NY
Practice address
116 Ackerman Ave
Sherrill, NY 13461-1001
Phone
(315) 264-4244
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354556 NY Primary

Addresses

Primary practice location

116 Ackerman Ave
Sherrill, NY 13461-1001

Mailing address

116 Ackerman Ave
Sherrill, NY 13461-1001

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
I20241115002111 NY Practitioner - Nurse Practitioner 7810421682 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
354556NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minzer Medical PC CurrentSince Jan 5, 2025 Accepting new patients
Midtown East Medical Services, PC CurrentSince Oct 10, 2024 Accepting new patients

Locations

135 Linden Blvd
Brooklyn, NY 11226
Phone (718) 576-7000

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

15 Fishers Rd
Ste 114
Pittsford, NY 14534
Phone (585) 376-7738

1657 Sunset Ave
Utica, NY 13502
Phone (315) 797-7392

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1184468068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ACKERMAN AVE",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ACKERMAN AVE",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611001",
            "telephone_number": "315-264-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherrill, NY

Sources for this page

Verify at the official NPI Registry.