Individual provider Active NPI

Jessica Anne Scalzo, CFNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1689668469
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166203 Issued in VA
Practice address
126 5TH Ave FL 2
New York, NY 10011-5631
Phone
(646) 880-4465
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 0024166203 VA Primary

Addresses

Primary practice location

126 5TH Ave FL 2
New York, NY 10011-5631

Mailing address

126 5TH Ave FL 2
New York, NY 10011-5631
Phone (646) 880-4465

Other practice location 1

5575 S Semoran Blvd Ste 36
Orlando, FL 32822-1782
Phone (833) 447-2775

Other practice location 2

4445 Corporation Ln Ste 259
Virginia Beach, VA 23462-3262
Phone (833) 447-2775

Other identifiers 1

IdentifierTypeStateIssuer
010096219MedicaidVA

Other names 1

  • Jessica A Haas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024166203VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parsley Medical Group FL PA PastSince Jul 25, 2021 Accepting new patients
Integrative Wellness Specialists Past Accepting new patients
Parsley Medical PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.scalzo@lmg1.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1689668469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115631",
            "telephone_number": "646-880-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115631",
            "telephone_number": "646-880-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 S Semoran Blvd Ste 36",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221782",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Corporation Ln Ste 259",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623262",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALZO",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010096219",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HAAS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.