Individual provider Active NPI

Rosemarie Ann Jones, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1366284515
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405938 Issued in NY
Practice address
1901 Vestal Pkwy E Ste 2W
Vestal, NY 13850-1966
Phone
(607) 341-4950
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405938 NY Primary

Addresses

Primary practice location

1901 Vestal Pkwy E Ste 2W
Vestal, NY 13850-1966

Mailing address

3642 Watson Blvd
Endwell, NY 13760-3654
Phone (607) 765-4096

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
I20250325002225 NY Practitioner - Nurse Practitioner 5496278061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Tier Psychiatry PLLCGroup PAC ID 4587006697, 7 clinicians

Practice addresses (Care Compare)

1500 Vestal Pkwy E
Suite 102
Vestal, NY 13850-1831
Phone (607) 307-5015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
405938NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince May 5, 2025 Accepting new patients
Arnot Medical Services PLLC CurrentSince May 5, 2025 Accepting new patients
Jacqueline Ponticiello Psychiatric NP, PLLC Psychiatric/Mental Health CurrentSince Jun 16, 2024 Accepting new patients
Arnot Ogden Medical Center CurrentSince May 5, 2025 Accepting new patients

Locations

123 Conhocton St
Ste 103
Corning, NY 14830
Phone (607) 438-1200

555 Saint Josephs Blvd
Ste EG1
Elmira, NY 14901
Phone (607) 737-7012

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

1901 Vestal Pkwy E
Ste 2W
Vestal, NY 13850
Phone (607) 341-4950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1366284515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 WATSON BLVD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603654",
            "telephone_number": "607-765-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VESTAL PKWY E STE 2W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501966",
            "telephone_number": "607-341-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROSEMARIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.