NPIMap

Individual provider Active NPI

Jenna Leskovec

  • Psychiatric/Mental Health Nurse Practitioner
  • Ballston Spa, NY
National Provider Identifier
1568219418
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406036 Issued in NY
Practice address
510 Geyser Rd
Ballston Spa, NY 12020-3007
Phone
(518) 289-2720
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406036 NY Primary

Addresses

Primary practice location

510 Geyser Rd
Ballston Spa, NY 12020-3007

Mailing address

510 Geyser Rd
Ballston Spa, NY 12020-3007
Phone (518) 289-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104000642 NY Practitioner - Nurse Practitioner 6002349701 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

24 Hamilton St
Saratoga Springs, NY 12866-4226

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Regional Medical , P.C Current Accepting new patients
Saratoga Hospital CurrentSince Sep 9, 2024 Accepting new patients
Saratoga Hospital CurrentSince Sep 9, 2024 Accepting new patients
Saratoga Hospital CurrentSince Sep 9, 2024 Accepting new patients
Saratoga Hospital CurrentSince Sep 9, 2024 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Sep 9, 2024 Accepting new patients
Scotia Glenville Family Medicine, P.C. Current Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Sep 9, 2024 Accepting new patients

Locations

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

Interoperability endpoints

  • Direct secure messaging: jleskovec99603@albanymed.direct-ci.com

Organizations & group practices 10

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1568219418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GEYSER RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203007",
            "telephone_number": "518-289-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GEYSER RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203007",
            "telephone_number": "518-289-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKOVEC",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.