Individual provider Active NPI

Jennifer Dwyer, CRNA

  • Registered Nurse
  • Newburgh, NY
National Provider Identifier
1386858934
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
461027 Issued in NY
Practice address
70 Dubois Street
St. Lukes Hospital
Newburgh, NY 12550-3550
Phone
(845) 561-4400
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 461027 NY Primary
Registered Nurse 163W00000X 44236 HI

Addresses

Primary practice location

70 Dubois Street
St. Lukes Hospital
Newburgh, NY 12550-3550

Mailing address

2 Catharine Street, PO Box 550
Mid-Hudson Anesthesiologists, PC
Poughkeepsie, NY 12602
Phone (866) 885-2318

Other names 1

  • Jennifer Schneider Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000563 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981594934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Columbia University College of Physicians and Surgeons, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44236HIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Nov 1, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Dec 6, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Nov 1, 2018 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Nov 15, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Dec 6, 2022 Accepting new patients
North American Partners in Anesthesia LLP Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

95 Crystal Run Rd
Middletown, NY 10941
Phone (845) 703-3800

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

2651 Strang Blvd
Ste 100
Yorktown Hts, NY 10598
Phone (845) 216-2232

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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, 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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1386858934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE STREET, PO BOX 550",
            "address_2": "MID-HUDSON ANESTHESIOLOGISTS, PC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12602",
            "telephone_number": "866-885-2318",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DUBOIS STREET",
            "address_2": "ST. LUKES HOSPITAL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503550",
            "telephone_number": "845-561-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "461027",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "44236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHNEIDER",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.