NPIMap

Individual provider Active NPI

Jessica L Chappina, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Bayside, NY
National Provider Identifier
1699151084
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307574 Issued in NY
Practice address
3501 202ND St
Bayside, NY 11361-1117
Phone
(718) 224-7627
NPI assigned
Aug 7, 2015
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307574 NY Primary
Registered Nurse 163W00000X 705682 NY

Addresses

Primary practice location

3501 202ND St
Bayside, NY 11361-1117

Mailing address

2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223

Other practice location 1

5 Penn Plz Ste 204
New York, NY 10001-1810
Phone (551) 295-8223

Other identifiers 1

IdentifierTypeStateIssuer
A3JWMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211002439 NY Practitioner - Nurse Practitioner 3971807975 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
705682NYMDRegistered Nurse
307574NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jan 1, 2022 Accepting new patients
Ny Priority Medical Care PLLC CurrentSince Jan 4, 2016 Accepting new patients
Housecalls Medicine Ny West PC CurrentSince Nov 12, 2025 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Apr 15, 2024 Accepting new patients
Nodar Janas MD PC CurrentSince Mar 7, 2018 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 1, 2022 Accepting new patients
Housecalls Medicine Ny East PC CurrentSince Nov 12, 2025 Accepting new patients
Good Shepherd Hospice CurrentSince Dec 8, 2020 Accepting new patients
SJ Surgery of Ny, PC PastSince Nov 2, 2019 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

110 Bi County Blvd
Ste 114
Farmingdale, NY 11735
Phone (631) 828-7400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

5 Penn Plz
Fl 19
New York, NY 10001
Phone (718) 360-9370

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jchappina117422@direct-chsli.net

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1699151084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "551-295-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611117",
            "telephone_number": "718-224-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Penn Plz Ste 204",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100011810",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPINA",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307574",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "705682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A3JW",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.