Individual provider Active NPI

Jessica A Dossey, FNP

  • Family Nurse Practitioner
  • Olean, NY
National Provider Identifier
1619759925
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352839 Issued in NY
Practice address
2626 W State St
Olean, NY 14760-1858
Phone
(716) 373-7440
NPI assigned
Oct 20, 2023
Last updated
Nov 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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 352839 NY Primary

Addresses

Primary practice location

2626 W State St
Olean, NY 14760-1858

Mailing address

2835 Curtis Street Ext
Jamestown, NY 14701-9621
Phone (585) 953-6431

Other names 1

  • Jessica A Indovina Former name

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
I20240117004842 NY Practitioner - Nurse Practitioner 0840642591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Akl Medical PCGroup PAC ID 5496187171, 4 clinicians

Practice addresses (Care Compare)

2626 W State St
Suite 205
Olean, NY 14760-1858
Phone (716) 373-7440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
352839NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Akl Medical PC CurrentSince Jan 15, 2024 Accepting new patients
Michel Elias Akl, MD PastSince Oct 22, 2023 Accepting new patients

Locations

2626 W State St
Ste 205
Olean, NY 14760
Phone (716) 373-7440

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, 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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1619759925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 CURTIS STREET EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019621",
            "telephone_number": "585-953-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-373-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSEY",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "INDOVINA",
            "middle_name": "A",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.