NPIMap

Individual provider Active NPI

Jessica Fitzgerrald, FNP-C

  • Neurological Surgery Physician
  • Albany, NY
National Provider Identifier
1407537699
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
F352114-01 Issued in NY
Practice address
43 New Scotland Ave RM 311
Albany, NY 12208-3412
Phone
(518) 262-5088
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X F352114-01 NY Primary

Addresses

Primary practice location

43 New Scotland Ave RM 311
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave # A310
Albany, NY 12208-3412
Phone (518) 262-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110003690 NY Practitioner - Nurse Practitioner 5991156218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

391 Myrtle Ave
Albany, NY 12208-3835
Phone (518) 262-5640

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F352114-01NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Nov 15, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Nov 15, 2023 Accepting new patients
Albany Medical College CurrentSince Nov 15, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients

Locations

43 New Scotland Ave
Rm 311
Albany, NY 12208
Phone (518) 262-5088

47 New Scotland Ave
#A310
Albany, NY 12208

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

391 Myrtle Ave
Ste 1B
Albany, NY 12208
Phone (518) 264-2225

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

3 Crossing Blvd
Ste 2
Clifton Park, NY 12065
Phone (518) 264-3600

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Organizations & group practices 7

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1407537699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE # A310",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5088",
            "fax_number": "518-262-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE RM 311",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERRALD",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "F352114-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.