Individual provider Active NPI

Jeniffer Dawn Alberry, FNP

  • Family Nurse Practitioner
  • Alexandria Bay, NY
National Provider Identifier
1407898356
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334415 Issued in NY
Practice address
4 Fuller Street
Alexandria Bay, NY 13607
Phone
(315) 482-2094
Fax
(315) 482-3727
NPI assigned
Jun 12, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334415 NY Primary

Addresses

Primary practice location

4 Fuller Street
Alexandria Bay, NY 13607

Mailing address

4 Fuller Street
Alexandria Bay, NY 13607
Phone (315) 482-2094

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
I20050308000943 NY Practitioner - Nurse Practitioner 3072567593 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

909 Strawberry LN
Clayton, NY 13624-1409
Phone (315) 656-2094

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334415NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC CurrentSince Jan 1, 2020 Accepting new patients
River Hospital, Inc. CurrentSince Sep 5, 2006 Accepting new patients
River Hospital, Inc. CurrentSince Sep 5, 2006 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Jan 11, 2021 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Jul 1, 2018 Accepting new patients
David P Locastro, MD, PC Past Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

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

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: jeniffer.alberry@sfhcny.eclinicaldirectplus.com

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

Hospital & facility affiliations 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1407898356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FULLER STREET",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "13607",
            "telephone_number": "315-482-2094",
            "fax_number": "315-482-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FULLER STREET",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "13607",
            "telephone_number": "315-482-2094",
            "fax_number": "315-482-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERRY",
        "first_name": "JENIFFER",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria Bay, NY

Sources for this page

Verify at the official NPI Registry.