Jacklyn Elyse Delzotto, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346046 Issued in NY

Practice address

700 McClellan St Ste 101
Schenectady, NY 12304-1084

Phone

(518) 371-4614

Fax

(518) 371-1014

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Mondragon McGrinder Medical Associates PLLCGroup PAC ID 8123174075, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellis Hospital Hospital, Schenectady, NY, CCN 330153
• Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Merit-based Incentive Payment System (MIPS)

Final score

92.84 of 100Reported as group

Quality

93.6

Improvement activities

40

Cost

84.67

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: jdelzotto@drsmms.medentdirect.com

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.

• Mondragon McGrinder Medical Associates PLLC

  • Obstetrics & Gynecology Physician
  • Schenectady, NY
  • NPI 1184634297
  Medicare reassignment Care Compare group

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

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Care Compare affiliation
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727
  Care Compare affiliation

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1528670965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SNOWBERRY RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120204463",
            "telephone_number": "518-210-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MCCLELLAN ST STE 101",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041084",
            "telephone_number": "518-371-4614",
            "fax_number": "518-371-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELZOTTO",
        "first_name": "JACKLYN",
        "middle_name": "ELYSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Carl Delrusso, MD
• Lynn Amidon Delsignore, RN
• Donald R Deluke, DDS
• James L Deluke, DDS
• Robert K Deluke, DDS
• Madison Demarest, DC
• Carla Jill Demaria, M.A., CCC-SLP
• Brian Denepitiya
• Douglas James Dennett, M.D.
• Brad M Denovio, RPA-C

• Family Nurse Practitioner in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.