Jodi Marie Conlan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

340971 Issued in NY

Practice address

4780 Duanesburg Rd Ste 102
Duanesburg, NY 12056-3422

Phone

(518) 299-5007

Fax

(518) 510-9783

NPI assigned

Aug 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.35 of 100Reported as group

Quality

98.76

Improvement activities

40

Cost

76.76

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Jodi Conlan Nurse Practitioner in Gerontology PLLC

  • Nurse Practitioner
  • Duanesburg, NY
  • NPI 1679311393
  Medicare reassignment NPD Authorized official
• Community Care Physicians, PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1922048370

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1669998472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 DUANESBURG RD STE 102",
            "city": "DUANESBURG",
            "state": "NY",
            "postal_code": "120563422",
            "telephone_number": "518-299-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 DUANESBURG RD STE 102",
            "city": "DUANESBURG",
            "state": "NY",
            "postal_code": "120563422",
            "telephone_number": "518-299-5007",
            "fax_number": "518-510-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLAN",
        "first_name": "JODI",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "340971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04850120",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Barr
• Rebecka Cox, MS, OTR/L
• Duane Avenue Dental Care, PC
• Duanesburg Physical Therapy, PLLC
• Jodi Conlan Nurse Practitioner in Gerontology PLLC
• Christopher James Magil, DPT, MS, PT

• All providers in Duanesburg, NY
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.