Active NPI
Jordynn Lynn Odin
- Nurse Practitioner
- Cooperstown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 356987
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326 - Phone
- (607) 547-3456
- NPI assigned
- Aug 23, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 785556 | NY | |
| Licensed Practical Nurse | 164W00000X | 329689 | NY | |
| Nurse Practitioner | 363L00000X | 356987 | NY | Primary |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1394
Phone (607) 547-3480
Other practice location 1
9711 Roberts Rd
Sauquoit, NY 13456-2611
Phone (315) 527-9467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | I DONT HAVE ONE |
Other names 1
- Ms. Jordynn Lynn Lee
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Associate Dr
Oneonta, NY 13820-2266
Phone (607) 433-6300
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456
321 E Albany St
Herkimer, NY 13350-2016
Phone (315) 867-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 785556 | NY | MD | Registered Nurse |
| 329689 | NY | MD | Licensed Practical Nurse |
| 356987 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
130 North St
Walton, NY 13856
Phone (607) 865-6541
Interoperability endpoints
- jodin569385@bassett.direct-ci.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1346767175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261394",
"telephone_number": "607-547-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-3456"
}
],
"practiceLocations": [
{
"address_1": "9711 Roberts Rd",
"address_purpose": "LOCATION",
"city": "Sauquoit",
"state": "NY",
"postal_code": "134562611",
"country_code": "US",
"telephone_number": "315-527-9467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODIN",
"first_name": "JORDYNN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "785556",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "329689",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "356987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDYNN",
"last_name": "LEE",
"middle_name": "LYNN",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.