Individual provider Active NPI

Jennifer L Ursoy, PA-C

  • Medical Physician Assistant
  • Olean, NY
National Provider Identifier
1619170768
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055459 Issued in PA
Practice address
515 Main St
Olean, NY 14760-1598
Phone
(716) 373-2600
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X MA055459 PA
Counselor 101Y00000X 003026-1 NY
Medical Physician Assistant 363AM0700X MA055459 PA Primary

Addresses

Primary practice location

515 Main St
Olean, NY 14760-1598

Mailing address

515 Main St
Olean, NY 14760-1598
Phone (716) 372-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150511001506 PA Practitioner - Physician Assistant 9931428125 Reassigns benefits to 1 organization
I20210517002169 NY Practitioner - Physician Assistant 9931428125 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradford Regional Medical CenterGroup PAC ID 4789592775, 5 clinicians
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Olean Medical Practice PLLCGroup PAC ID 0042698045, 56 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

515 Main St
Olean, NY 14760-1513
Phone (716) 375-6993

535 Main St
Suite 1
Olean, NY 14760-1500
Phone (716) 372-0141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003026-1NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Jun 1, 2021 Accepting new patients
Olean General Hospital Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
University of Rochester CurrentSince Jun 1, 2021 Accepting new patients
Olean General Hospital Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
Apogee Medical Group of Pennsylvania PC Single Specialty CurrentSince Aug 1, 2018 Accepting new patients
General Physician, PC CurrentSince Oct 1, 2022 Accepting new patients
General Physician, PC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
BRMS OB/GYN Single Specialty Past Accepting new patients

Locations

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

535 Main St
Olean, NY 14760
Phone (716) 372-0141

515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#704
Rochester, NY 14642
Phone (585) 275-5823

601 Elmwood Ave
#610
Rochester, NY 14642
Phone (585) 275-2881

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

195 Pleasant St
Unit 2
Bradford, PA 16701
Phone (814) 362-5503

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1619170768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601598",
            "telephone_number": "716-372-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601598",
            "telephone_number": "716-373-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSOY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MA055459",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "003026-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.