Jessica Mastandrea, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F346380-01 Issued in NY

Practice address

10 Healthy Way
Ellenville, NY 12428-5612

Phone

(845) 647-6400

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

Yes

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellenville Emergency Medical Associates PLLCGroup PAC ID 9436478658, 8 clinicians

Orange Emergency Services PCGroup PAC ID 4880853183, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellenville Regional Hospital Hospital, Ellenville, NY, CCN 331310
• Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Merit-based Incentive Payment System (MIPS)

Final score

93.27 of 100Reported as group

Quality

83.84

Improvement activities

40

Cost

77.6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.conklin.2@13746.direct.athenahealth.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.

• Ellenville Emergency Medical Associates PLLC

  • Emergency Medicine Physician
  • Ellenville, NY
  • NPI 1477945905

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Orange Emergency Services PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1043589682

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sullivan Emergency Services PC

  • Emergency Medicine Physician
  • Harris, NY
  • NPI 1528338480

  Single Specialty

  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392

  Single Specialty

  Medicare reassignment NPD
• Resource Recovery Center of Orange County LLC

  • Substance Abuse Rehabilitation Facility
  • Middletown, NY
  • NPI 1124679998
  NPD
• Westchester Medical Center Advanced Physician Services PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1740687458

  Single Specialty

  NPD

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

• Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
  • NPI 1609875772
  Care Compare affiliation
• Westchester-Ellenville Hospital, Inc.

  • Critical Access Hospital
  • Ellenville, NY
  • NPI 1073525341
  Care Compare affiliation

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1568063543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SPRAGUE CT",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285115",
            "telephone_number": "845-853-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEALTHY WAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285612",
            "telephone_number": "845-647-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTANDREA",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346380-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saeeda A Mahmud, MD
• Ram Makker, MD
• Allise A Marter, DC
• Elizabeth Sharon Martinez, LMSW
• Jaclyn Martinez
• Matthews Pharmacy Inc.
• Matthews Pharmacy Inc.
• Ronald G Matthews, RPH.
• Stacey Lynn Maurizzio, R.N.
• Kristin Anne McMillan, LPN

• Family Nurse Practitioner in Ellenville, NY
• Providers in Ellenville, 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 Mar 5, 2026; 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.