Individual provider Active NPI

Jamie Rusek

  • Adult Health Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1538823679
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310336-01 Issued in NY
Practice address
374 Violet Ave
Poughkeepsie, NY 12601-1034
Phone
(845) 473-2273
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310336-01 NY Primary

Addresses

Primary practice location

374 Violet Ave
Poughkeepsie, NY 12601-1034

Mailing address

23 Croft Rd
Poughkeepsie, NY 12603-4917
Phone (914) 474-0430

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
I20230412000288 NY Practitioner - Nurse Practitioner 5597130211 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F310336-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Medical Health Choices, P.C. CurrentSince Dec 16, 2022 Accepting new patients

Locations

374 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 240-7555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1538823679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROFT RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034917",
            "telephone_number": "914-474-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-473-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSEK",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310336-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.