Individual provider Active NPI

Jeri Lynne Boccia, NP

  • Family Nurse Practitioner
  • Hudson, NY
National Provider Identifier
1437634383
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342698-1 Issued in NY
Practice address
35 Industrial Tract Anx
Hudson, NY 12534-1505
Phone
(518) 291-8844
NPI assigned
Sep 26, 2018
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 F342698-1 NY Primary

Addresses

Primary practice location

35 Industrial Tract Anx
Hudson, NY 12534-1505

Mailing address

35 Industrial Tract Anx
Hudson, NY 12534-1505
Phone (518) 291-8844

Other names 1

  • Jeri Lynne Trout Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116000759 NY Practitioner - Nurse Practitioner 2466706197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F342698-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Bernockie NP in Family Health PLLC CurrentSince Feb 18, 2025 Accepting new patients

Locations

35 Industrial Tract Anx
Hudson, NY 12534
Phone (518) 291-8844

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1437634383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 INDUSTRIAL TRACT ANX",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341505",
            "telephone_number": "518-291-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 INDUSTRIAL TRACT ANX",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341505",
            "telephone_number": "518-291-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCIA",
        "first_name": "JERI",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342698-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "TROUT",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.