Individual provider Active NPI

Jessica Lewis-Caporal, DNP, CNM, FNP-BC

  • Advanced Practice Midwife
  • Poughkeepsie, NY
National Provider Identifier
1306124011
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
002360 Issued in NY
Practice address
21 Reade PL Ste 3100
Poughkeepsie, NY 12601-3944
Phone
(845) 790-9300
Fax
(845) 471-4381
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000 NY
Advanced Practice Midwife 367A00000X 002360 NY Primary

Addresses

Primary practice location

21 Reade PL Ste 3100
Poughkeepsie, NY 12601-3944

Mailing address

21 Reade PL Ste 3100
Poughkeepsie, NY 12601-3944
Phone (845) 790-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190123002810 UT Practitioner - Nurse Practitioner 6204173628 Reassigns benefits to 2 organizations
I20250117003057 NY Practitioner - Certified Nurse Midwife (CNM) 6204173628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

21 Reade PL
Suite 3100a
Poughkeepsie, NY 12601-3944
Phone (845) 214-1900

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0000NYMDSpecialist
002360NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Services CurrentSince Sep 30, 2018 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Nuvance Health Medical Practice PC Advanced Practice Midwife CurrentSince Mar 10, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Sep 30, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Sep 30, 2018 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince Sep 30, 2018 Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations

1240 Ulster Ave
Ste 104
Kingston, NY 12401
Phone (845) 768-1990

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

21 Reade Pl
Ste 3100A
Poughkeepsie, NY 12601
Phone (845) 214-1900

21 Reade Pl
Ste 3100
Poughkeepsie, NY 12601
Phone (845) 214-1800

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1306124011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 READE PL STE 3100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013944",
            "telephone_number": "845-790-9300",
            "fax_number": "845-471-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 READE PL STE 3100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013944",
            "telephone_number": "845-790-9300",
            "fax_number": "845-471-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-CAPORAL",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "0000",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.