Active NPI
Jennie Robinson, FNP-BC
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1255768719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F341994
- Practice address
- 645 10TH Ave
New York, NY 10036-2904 - Phone
- (212) 484-5826
- Fax
- (212) 265-6565
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 675138 | NY | |
| Family Nurse Practitioner | 363LF0000X | F341994 | NY | Primary |
Addresses
Primary practice location
645 10TH Ave
New York, NY 10036-2904
Mailing address
2300 Olinville Ave Apt 9B
Bronx, NY 10467-7819
Phone (631) 455-1611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 675138 | NY | MD | Registered Nurse |
| F341994 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Ryan-Chelsea Clinton Community Health Center | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Galileo Medical Group, NM PC | Past | Accepting new patients |
Locations
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
645 10th Ave
New York, NY 10036
Phone (212) 265-4500
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jennie.robinson@450368864321540.direct.elationemr.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1215978960
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Developmental - Behavioral Pediatrics Physician
- Jacksonville, FL
- NPI 1649430919
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Family Medicine Physician
- New York, NY
- NPI 1548911746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1255768719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 OLINVILLE AVE APT 9B",
"city": "BRONX",
"state": "NY",
"postal_code": "104677819",
"telephone_number": "631-455-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100362904",
"telephone_number": "212-484-5826",
"fax_number": "212-265-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JENNIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "675138",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F341994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.