Individual provider Active NPI

Jessica Austin, NP

  • Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1285244012
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
346289 Issued in NY
Practice address
905 Hanshaw Rd Ste a
Ithaca, NY 14850-1549
Phone
(607) 269-0033
Fax
(607) 269-0037
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 346289 NY Primary

Addresses

Primary practice location

905 Hanshaw Rd Ste a
Ithaca, NY 14850-1549

Mailing address

403 Snyder Hill Rd
Ithaca, NY 14850-8722
Phone (607) 327-1898

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
I20201109000533 NY Practitioner - Nurse Practitioner 0648680306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PC 278 clinicians

Practice addresses (Care Compare)

905 Hanshaw Rd
Suite a
Ithaca, NY 14850-1549
Phone (607) 273-6757

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler Hospital Inc CurrentSince Nov 10, 2022 Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Jan 31, 2022 Accepting new patients
Schuyler Hospital Inc CurrentSince Nov 10, 2022 Accepting new patients
Cayuga Pathology PLLC Current Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Jan 31, 2022 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Sep 28, 2020 Accepting new patients

Locations

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

1301 Trumansburg Rd
Ste B
Ithaca, NY 14850
Phone (607) 882-0010

905 Hanshaw Rd
#A
Ithaca, NY 14850
Phone (607) 269-0033

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1285244012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SNYDER HILL RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508722",
            "telephone_number": "607-327-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD STE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-269-0033",
            "fax_number": "607-269-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "346289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.