NPIMap

Individual provider Active NPI

Jennifer Rogers, FNP

  • Family Nurse Practitioner
  • Waterville, NY
National Provider Identifier
1770924391
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338082 Issued in NY
Practice address
117 W Main St
Waterville, NY 13480-1165
Phone
(315) 841-4184
Fax
(315) 841-4566
NPI assigned
Jul 11, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 F338082 NY Primary

Addresses

Primary practice location

117 W Main St
Waterville, NY 13480-1165

Mailing address

117 W Main St
PO Box 1012
Waterville, NY 13480-1165
Phone (315) 841-4184

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
I20131009001272 NY Practitioner - Nurse Practitioner 2961636709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

2 Ellinwood Dr
New Hartford, NY 13413-1110
Phone (315) 724-1012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F338082NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Medical Professionals of Ny, PLLC CurrentSince Nov 17, 2018 Accepting new patients
Associated Medical Professionals of Ny, PLLC CurrentSince Nov 17, 2018 Accepting new patients
Community Memorial Hospital CurrentSince Jul 29, 2013 Accepting new patients
Community Memorial Hospital CurrentSince Jul 29, 2013 Accepting new patients
South Nassau Medical Group, PC Past Accepting new patients

Locations

192 W Genesee St
Auburn, NY 13021
Phone (315) 258-5253

5700 W Genesee St
Ste 124
Camillus, NY 13031
Phone (315) 472-8841

80 E Main St
Ste 2A
Canton, NY 13617
Phone 3157142559 ext. 42559

4211 Medical Center Dr
Ste 211
Fayetteville, NY 13066
Phone (315) 329-0210

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

5100 W Taft Rd
Ste 4D
Liverpool, NY 13088
Phone (315) 452-2321

5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170

2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081

357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

117 W Main St
Waterville, NY 13480
Phone (315) 841-4178

Interoperability endpoints

  • Direct secure messaging: jrogers@ampofny.medentdirect.com

Organizations & group practices 5

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 11

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1770924391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "address_2": "PO BOX 1012",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134801165",
            "telephone_number": "315-841-4184",
            "fax_number": "315-841-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134801165",
            "telephone_number": "315-841-4184",
            "fax_number": "315-841-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, NY

Sources for this page

Verify at the official NPI Registry.