Individual provider Active NPI

Jaclyn Ann Finn, NP

  • Adult Health Nurse Practitioner
  • Hudson, NY
National Provider Identifier
1578209201
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310672 Issued in NY
Practice address
155 Knitt Rd
Hudson, NY 12534-3318
Phone
(518) 653-6956
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 F310672 NY Primary

Addresses

Primary practice location

155 Knitt Rd
Hudson, NY 12534-3318

Mailing address

155 Knitt Rd
Hudson, NY 12534-3318
Phone (518) 653-6956

Other practice location 1

1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Phone (518) 348-3176

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
I20220707001956 NY Practitioner - Nurse Practitioner 7618357740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hurley Ave Family Med PLLCGroup PAC ID 0648169037, 9 clinicians

Practice addresses (Care Compare)

211 Hurley Ave
Kingston, NY 12401-2400
Phone (845) 339-2804

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F310672NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Ave Family Med PLLC CurrentSince Oct 1, 2024 Accepting new patients
Hurley Avenue Family Medicine Past Accepting new patients

Locations

146 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-3415

211 Hurley Ave
Kingston, NY 12401
Phone (845) 339-2804

Interoperability endpoints

  • Direct secure messaging: jfinn@landmarkhealth-direct.org
  • Direct secure messaging: jfinn@hafm.medentdirect.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1578209201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 KNITT RD",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343318",
            "telephone_number": "518-653-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 KNITT RD",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343318",
            "telephone_number": "518-653-6956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Troy Schenectady Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121101074",
            "country_code": "US",
            "telephone_number": "518-348-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINN",
        "first_name": "JACLYN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.