Jean Van Kingsley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331870-1 Issued in NY

Practice address

4211 State Highway 220
Oxford, NY 13830-4305

Phone

(607) 843-3138

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of OtsegoGroup PAC ID 9032195573, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• County of Otsego

  dba Otsego County Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oneonta, NY
  • NPI 1831145101
  Medicare reassignment Care Compare group

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

• Mary Imogene Bassett Hospital

  dba Bassett Healthcare

  • Rural Acute Care Hospital
  • Cooperstown, NY
  • NPI 1780600577
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245390673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 STATE HIGHWAY 220",
            "city": "OXFORD",
            "state": "NY",
            "postal_code": "138304305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 STATE HIGHWAY 220",
            "city": "OXFORD",
            "state": "NY",
            "postal_code": "138304305",
            "telephone_number": "607-843-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KINGSLEY",
        "first_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331870-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Shaver, COTA
• Cynthia Lou Solyian, RN
• State of New York Comptrollers Office (NYS Veterans Home at Oxford)
• Autumn Lee Tokos, MS, RN, FNP-BC
• Elise Marie Van Gorden, FNP
• Village of Oxford
• Mary E Warner, GERIATRIC NURSE PRAC
• Lindsay Williams, REGISTERED NURSE
• Kimberly Ann Winner
• Kara Lynn Wright, LPN

• Family Nurse Practitioner in Oxford, NY
• Providers in Oxford, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.