Individual provider Active NPI

Jennifer Lynne Titchnell, PAC

  • Medical Physician Assistant
  • New Windsor, NY
National Provider Identifier
1609150226
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014504-1 Issued in NY
Practice address
575 Hudson Valley Ave
Suite 201
New Windsor, NY 12553-4747
Phone
(845) 220-2270
Fax
(845) 220-2277
NPI assigned
Sep 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014504-1 NY Primary

Addresses

Primary practice location

575 Hudson Valley Ave
Suite 201
New Windsor, NY 12553-4747

Mailing address

575 Hudson Valley Ave
Suite 201
New Windsor, NY 12553-4747
Phone (845) 220-2270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.titchnell@wmchealth.cernerdirect.com Direct

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
I20160629001309 NY Practitioner - Physician Assistant 9638460207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014504NYMDClinical Psychologist
014504-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 1, 2020 Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

575 Hudson Valley Ave
Ste 201
New Windsor, NY 12553
Phone (845) 220-2270

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: jennifer.titchnell@wmchealth.cernerdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1609150226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE",
            "address_2": "SUITE 201",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-220-2270",
            "fax_number": "845-220-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE",
            "address_2": "SUITE 201",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-220-2270",
            "fax_number": "845-220-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITCHNELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014504-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.titchnell@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "575 Hudson Valley Ave",
            "address_2": "Suite 201",
            "city": "New Windsor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125534747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.