Jennilee Rose Brinks
Individual provider Active NPI Family Nurse Practitioner · Horseheads, NY
NPI 1609412774 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1609412774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F344997-01 (NY)
- Practice address
- 31 Arnot Rd
Horseheads, NY 14845-8533 - Phone
- (607) 795-5100
- NPI assigned
- Nov 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971
1336 Cedar St
Elmira, NY 14904-2951
Phone (607) 734-3929
31 Arnot Rd
A
Horseheads, NY 14845-8533
Phone (607) 795-5100
720 Willow Ave
Ithaca, NY 14850-3215
Phone (607) 219-4600
Hospital & facility affiliations
- Corning Hospital
- Robert Packer Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200213001963 | NY | Practitioner - Nurse Practitioner | 9739515537 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F344997-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- jbrinks37064@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F344997-01 | NY | Yes |
Addresses
Primary practice location
31 Arnot Rd
Horseheads, NY 14845-8533
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrinks37064@direct-guthrie.org | Direct |
Other providers in Horseheads, NY
- Stephen Joseph Bohac
- Clifford H Bough
- Dawn Marie Boyd
- Samuel Bozuhoski
- Patricia Ann Brantner
- Kristina Brown
- Sue Ellen Brown
- Bryan Friedland DMD PC
- Richard S Buchanan
- Michael Eugene Buck
All providers in Horseheads, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.