Jennifer McCormick, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

340732 Issued in NY

Practice address

43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638

Phone

(585) 377-5420

Fax

(585) 377-3690

NPI assigned

Jul 13, 2016

Sex

Female

Sole proprietor

Yes

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penfield Obstetrics and Gynecology LLPGroup PAC ID 0547233900, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmccormick@penfieldobgyn.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.

• Penfield Obstetrics and Gynecology LLP

  • Obstetrics & Gynecology Physician
  • Penfield, NY
  • NPI 1134233307
  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Rochester, PC

  • Specialist
  • Rochester, NY
  • NPI 1174632285
  Medicare reassignment NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1801248901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fletcher Reid Matthes, L.M.T.
• Alyssa Matz
• Megan Joy May
• Jessica Lauren McCann
• Frances McCarthy
• Myllissa McDuffie
• Kelsey Joyce McGinnis, LMSW
• Scott McIntosh, DO
• Lesya McMahan
• Mary Patricia McMahon-Estephan

• Family Nurse Practitioner in Penfield, NY
• Providers in Penfield, 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 Jul 6, 2021; 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.