Jeff D Perrine, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F338038 Issued in NY

Practice address

53-59 Public Square
Suite 301
Watertown, NY 13601

Phone

(315) 782-2141

Fax

(315) 782-5123

NPI assigned

May 1, 2013

Sex

Male

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

Specialty

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment Care Compare group NPD
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Medicare reassignment NPD
• Claxton Medical PC

  • Pediatrics Physician
  • Ogdensburg, NY
  • NPI 1114164944
  Medicare reassignment NPD
• Family Practice Associates, P.C

  • Family Medicine Physician
  • Carthage, NY
  • NPI 1669514592
  Medicare reassignment NPD
• Watertown Urgent Care PLLC

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1194924134
  Medicare reassignment NPD
• Carthage Area Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ogdensburg, NY
  • NPI 1013759166
  NPD
• Claxton Medical PC

  dba Claxton Hepburn Convenient Care

  • Family Medicine Physician
  • Ogdensburg, NY
  • NPI 1013399617
  NPD
• Mountain Medical of Watertown

  • Physician Assistant
  • Watertown, NY
  • NPI 1306068812
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1245675495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQUARE",
            "address_2": "SUITE 301",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-2141",
            "fax_number": "315-782-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQUARE",
            "address_2": "SUITE 301",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-2141",
            "fax_number": "315-782-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "JEFF",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Pelletier, DPM
• James F Pemberton, P.T.
• Shanmukha Swetha Perabattula, MD
• Ronald G Perciaccante, MD
• Kristy Marie Perez, LPN
• Perry Optical (Vision Center II)
• Jennifer Nadine Perry, CRNA
• Marie Petell, LPN
• Lisa Ann Peters
• Jill Christine Peterson, DO

• Family Nurse Practitioner in Watertown, NY
• Providers in Watertown, 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 Oct 22, 2018; 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.