Individual provider Active NPI

Jenifer Clark Meyer, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1497059943
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306895 Issued in NY
Practice address
2400 Clinton Ave S
Building G, 2ND Floor
Rochester, NY 14618-2668
Phone
(585) 341-7685
Fax
(585) 341-4220
NPI assigned
Dec 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306895 NY Primary
Registered Nurse 163W00000X 683274 NY

Addresses

Primary practice location

2400 Clinton Ave S
Building G, 2ND Floor
Rochester, NY 14618-2668

Mailing address

2400 Clinton Ave S
BLDG G-2
Rochester, NY 14618-2668
Phone (585) 341-7685

Other names 1

  • Jenifer Clark Former name

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
I20150724011035 NY Practitioner - Nurse Practitioner 9436304748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

1 Elsie St
Rome, NY 13440-2556
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
683274NYMDRegistered Nurse
306895NYMDAnesthesiology Physician
F306895NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Services PLLC CurrentSince Feb 19, 2026 Accepting new patients
Physician Mobile Medical Care PC CurrentSince Feb 19, 2026 Accepting new patients

Locations

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1293321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1497059943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CLINTON AVE S",
            "address_2": "BLDG G-2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182668",
            "telephone_number": "585-341-7685",
            "fax_number": "585-341-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CLINTON AVE S",
            "address_2": "BUILDING G, 2ND FLOOR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182668",
            "telephone_number": "585-341-7685",
            "fax_number": "585-341-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JENIFER",
        "middle_name": "CLARK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-26",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306895",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "683274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.