Individual provider Active NPI

Jacqueline E Karlsen, NP

  • Nurse Practitioner
  • Geneva, NY
National Provider Identifier
1477597557
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333081 Issued in NY
Practice address
64 Elizabeth Blackwell St
Geneva, NY 14456-3403
Phone
(315) 789-2153
Fax
(315) 789-1341
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 333081 NY
Nurse Practitioner 363L00000X F333081 NY Primary

Addresses

Primary practice location

64 Elizabeth Blackwell St
Geneva, NY 14456-3403

Mailing address

601 Elmwood Ave
Box 629
Rochester, NY 14642-0001
Phone (315) 789-2153

Other identifiers 6

IdentifierTypeStateIssuer
7080701OtherNYAETNA
P00194669OtherRAILROAD MEDICARE
P019333081OtherNYBLUE CHOICE OF ROCHESTER
1613866811/001OtherTRICARE
000923056002OtherNYHEALTHNOW,NY
NP0757OtherNYPREFERRED CARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jkarlsen104785@direct.urmc.rochester.edu Direct
Direct Messaging Address jkarlsen104785@direct.urmc.rochester.edu Direct

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
I20050222000103 NY Practitioner - Nurse Practitioner 6901859727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Otolaryngology AssociatesGroup PAC ID 2860395795, 36 clinicians

Practice addresses (Care Compare)

64 Elizabeth Blackwell St
Geneva, NY 14456-3443
Phone (315) 789-2153

Hospital & facility affiliations

  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058
  • Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
63.55
Promoting interoperability
99
Improvement activities
40
Cost
74.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333081NYMDNurse Practitioner
F333081NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC CurrentSince Feb 1, 2013 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
University Otolaryngology Associates CurrentSince Aug 1, 2015 Accepting new patients
FLH Medical, PC CurrentSince Feb 1, 2013 Accepting new patients
Highland Hospital of Rochester PastSince Aug 1, 2015 Accepting new patients
Interlakes Orthopaedic Surgery,PC Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

4 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1368

196 North St
Geneva, NY 14456
Phone (315) 787-4156

293 W North St
Geneva, NY 14456
Phone (315) 462-3563

64 Elizabeth Blackwell St
Ste A
Geneva, NY 14456
Phone (315) 789-2153

64 Elizabeth Blackwell St
Geneva, NY 14456
Phone (315) 789-2153

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#629
Rochester, NY 14642
Phone (585) 276-5181

2365 S Clinton Ave
Ste 200
Rochester, NY 14618
Phone (585) 275-0142

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

Interoperability endpoints

  • Direct secure messaging: jkarlsen104785@direct.urmc.rochester.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1477597557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 629",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "315-789-2153",
            "fax_number": "315-789-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ELIZABETH BLACKWELL ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144563403",
            "telephone_number": "315-789-2153",
            "fax_number": "315-789-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSEN",
        "first_name": "JACQUELINE",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "333081",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7080701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00194669",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE OF ROCHESTER",
            "identifier": "P019333081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1613866811/001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW,NY",
            "identifier": "000923056002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "NP0757",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkarlsen104785@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkarlsen104785@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.