Jennifer Anne Clarke, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F338452-1 Issued in NY

Practice address

2127 Dryden Rd
Freeville, NY 13068-9611

Phone

(607) 844-9979

Fax

(607) 844-9066

NPI assigned

Jan 7, 2015

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

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurosciences Healthcare Medicine, PCGroup PAC ID 5799012993, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jclarke@amms.medentdirect.com

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.

• Neurosciences Healthcare Medicine, PC

  • Neurological Surgery Physician
  • Vestal, NY
  • NPI 1497308548
  Medicare reassignment Care Compare group
• Smith Allergy and Asthma of Central New York PLLC

  • Allergy & Immunology Physician
  • Corning, NY
  • NPI 1700165990
  Medicare reassignment NPD
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD
• Medical Pain Consultant, Osteopathy of Tompkins County, P.C.

  • Pain Medicine Physician
  • Freeville, NY
  • NPI 1225106313
  NPD (past)
• Medical Pain Consultants,Inc

  • Pain Medicine Physician
  • Freeville, NY
  • NPI 1396816963
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1700274255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "DRYDEN",
            "state": "NY",
            "postal_code": "130530640",
            "telephone_number": "607-844-9979",
            "fax_number": "607-844-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 DRYDEN RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689611",
            "telephone_number": "607-844-9979",
            "fax_number": "607-844-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary P Brinn
• Katilyn Butler, LMSW
• Adam Cake
• Danielle Sue Chase, LCSW, CASAC
• Joshua Michael Clark
• Kevin Gerard Coleman, D.C.
• Amanda Comfort
• Sandra M Condry, PHD
• Angela Mary Contento
• Penny Crandall, LPN

• Family Nurse Practitioner in Freeville, NY
• Providers in Freeville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.