Mashelle M Jansen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333729 Issued in NY

Practice address

66 Central St
Moravia, NY 13118-3612

Phone

(315) 497-1497

Fax

(315) 497-1490

NPI assigned

Jan 13, 2006

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Cma Medical Practice PLLCGroup PAC ID 7618214560, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455
  Medicare reassignment Care Compare group NPD
• Cma Medical Practice PLLC

  dba Emergency Medicine Associates of Cayuga PLLC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1962985564
  Medicare reassignment Care Compare group NPD
• Lifespan PT OT &SLP Services PLLC

  • Physical Therapist
  • King Ferry, NY
  • NPI 1881990935
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1255457917
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1316485600
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1629182100
  NPD (past)

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

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1598744880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CENTRAL ST",
            "city": "MORAVIA",
            "state": "NY",
            "postal_code": "131183612",
            "telephone_number": "315-497-1497",
            "fax_number": "315-497-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "MASHELLE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "333729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333729",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "333729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02352078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Devon Gaston
• Kathleen J Greene, IBCLC
• Erica Hollenbeck, PHARM.D.
• Howd LTC Management (Northwoods Rehab & Health Care Facility at Moravia)
• Faith Howell, RN
• Susanne Mary Jayne, LPN
• Daniel F Karn, PA
• Catherine Impastato Keating, MD
• Ashley Yonsook Ki, D.D.S.
• KPH Healthcare Services, Inc. (Kinney Drugs #73)

• Family Nurse Practitioner in Moravia, NY
• Providers in Moravia, 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 Feb 17, 2009; 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.