Individual provider Active NPI

Jennifer Grace Barresi, NP

  • Family Nurse Practitioner
  • Highland, NY
National Provider Identifier
1659656742
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337000 Issued in NY
Practice address
222 Route 299
Highland, NY 12528-2524
Phone
(845) 691-3627
NPI assigned
Oct 20, 2011
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 337000 NY Primary

Addresses

Primary practice location

222 Route 299
Highland, NY 12528-2524

Mailing address

5 Bonticou View Dr
New Paltz, NY 12561-1004
Phone (518) 859-4783

Other practice location 1

30 Campus Road
Annandale-on-Hudson, NY 12504
Phone (845) 758-7433

Other practice location 2

1 Hawk Dr
New Paltz, NY 12561-2447
Phone (845) 257-3400

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
I20190327000935 NY Practitioner - Nurse Practitioner 5092055129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcare Medical, PC CurrentSince Feb 9, 2019 Accepting new patients

Locations

222 Route 299
Highland, NY 12528
Phone (845) 691-3627

Organizations & group practices 1

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1659656742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BONTICOU VIEW DR",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611004",
            "telephone_number": "518-859-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 299",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282524",
            "telephone_number": "845-691-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Campus Road",
            "address_purpose": "LOCATION",
            "city": "Annandale-on-Hudson",
            "state": "NY",
            "postal_code": "12504",
            "country_code": "US",
            "telephone_number": "845-758-7433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hawk Dr",
            "address_purpose": "LOCATION",
            "city": "New Paltz",
            "state": "NY",
            "postal_code": "125612447",
            "country_code": "US",
            "telephone_number": "845-257-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRESI",
        "first_name": "JENNIFER",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

Verify at the official NPI Registry.