Individual provider Active NPI

Jenna Elizabeth Nassar, FNP-BC

  • Family Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1396355095
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345465 Issued in NY
Practice address
3980A Sheridan Dr FL 2
Amherst, NY 14226-1741
Phone
(716) 250-2000
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 345365 NY
Nurse Practitioner 363L00000X 345465 NY
Family Nurse Practitioner 363LF0000X 345465 NY Primary

Addresses

Primary practice location

3980A Sheridan Dr FL 2
Amherst, NY 14226-1741

Mailing address

3980A Sheridan Dr FL 2
Amherst, NY 14226-1741
Phone (716) 250-2000

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
I20201110000965 NY Practitioner - Nurse Practitioner 7810307451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dent Neurologic Group LLPGroup PAC ID 1951298033, 117 clinicians

Practice addresses (Care Compare)

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
345365NYMDHospitalist Physician
345465NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Internist & Associates LLC CurrentSince Feb 15, 2022 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Oct 5, 2020 Accepting new patients
Dent Neurologic Group LLP Nurse Practitioner CurrentSince Mar 10, 2025 Accepting new patients
Dent Neuologic Institute PastSince Mar 11, 2025 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

515 Main St
Olean, NY 14760
Phone (716) 373-2600

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

Interoperability endpoints

  • Direct secure messaging: jenna.nassar@dent.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBEAA

Organizations & group practices 4

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 2

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": "1740960000000",
    "number": "1396355095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR FL 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741",
            "telephone_number": "716-250-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR FL 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741",
            "telephone_number": "716-250-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "JENNA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "345365",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "345465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.