Individual provider Active NPI

Jocelyne A King, NP-C

  • Family Nurse Practitioner
  • Canastota, NY
National Provider Identifier
1609493428
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346051 Issued in NY
Practice address
7137 Mt Pleasant Rd
Canastota, NY 13032-5024
Phone
(315) 697-2033
Fax
(315) 697-9175
NPI assigned
Jun 27, 2020
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346051 NY Primary

Addresses

Primary practice location

7137 Mt Pleasant Rd
Canastota, NY 13032-5024

Mailing address

7137 Mt Pleasant Rd
Canastota, NY 13032-5024
Phone (315) 697-2033

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
I20200811001275 NY Practitioner - Nurse Practitioner 5991120776 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346051NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Medical Practice, PC CurrentSince Sep 1, 2020 Accepting new patients
Oneida Health Systems, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Oneida Medical Practice, PC CurrentSince Sep 1, 2020 Accepting new patients
Oneida Health Systems, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

7137 Mount Pleasant Rd
Canastota, NY 13032
Phone (315) 697-2033

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

Interoperability endpoints

  • Direct secure messaging: jking@trivalleyfamilypractice.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1609493428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7137 MT PLEASANT RD",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130325024",
            "telephone_number": "315-697-2033",
            "fax_number": "315-697-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7137 MT PLEASANT RD",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130325024",
            "telephone_number": "315-697-2033",
            "fax_number": "315-697-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOCELYNE",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canastota, NY

Sources for this page

Verify at the official NPI Registry.