Individual provider Active NPI

Jo Ann Michaelsen, FNP

  • Family Nurse Practitioner
  • Dobbs Ferry, NY
National Provider Identifier
1760519631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334593 Issued in NY
Practice address
128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone
(914) 693-0700
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 334593 NY Primary

Addresses

Primary practice location

128 Ashford Ave
Dobbs Ferry, NY 10522-1924

Mailing address

2 Lexington Ave
Highland Mills, NY 10930-3038
Phone (845) 928-8764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200521000151 NY Practitioner - Nurse Practitioner 9234560590 Reassigns benefits to 2 organizations
I20260204001427 NJ Practitioner - Nurse Practitioner 9234560590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians
Dimerhealth Medical PracticeGroup PAC ID 5991162257, 29 clinicians

Practice addresses (Care Compare)

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000

4 Hampshire Dr
Mendham, NJ 07945-2004
Phone (973) 464-8363

80 State St
Albany, NY 12207-2541
Phone (973) 566-1826

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334593NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dimerhealth Medical Practice CurrentSince Dec 30, 2025 Accepting new patients
Dimer Health Services Inc CurrentSince Dec 30, 2025 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. CurrentSince Jun 1, 2020 Accepting new patients

Locations

80 State St
Albany, NY 12207
Phone (415) 742-8411

26 Firemens Memorial Dr
Ste 215
Pomona, NY 10970

123 Pike St
Ste 3
Port Jervis, NY 12771
Phone (973) 464-8363

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

2 Crosfield Ave
Ste 318
West Nyack, NY 10994
Phone (845) 353-5600

Networks

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

Interoperability endpoints

  • Direct secure messaging: jo.ann.michaelsen.1@28989.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760519631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LEXINGTON AVE",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109303038",
            "telephone_number": "845-928-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ASHFORD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221924",
            "telephone_number": "914-693-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSEN",
        "first_name": "JO ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.