Active NPI
Jody Cepeda, FNP
- Family Nurse Practitioner
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F334584-1
- Practice address
- 384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073 - Phone
- (845) 692-8780
- Fax
- (845) 692-3439
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F334584-1 | NY | Primary |
Addresses
Primary practice location
384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073
Mailing address
384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073
Phone (845) 692-8780
Other practice location 1
460 Gidney Ave
Newburgh, NY 12550-3117
Phone (845) 692-8780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F334584-1 | Other | NY | LIC# |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
384 Crystal Run Rd
Suite 201
Middletown, NY 10941-4073
Phone (845) 692-8780
Hospital & facility affiliations
- Bon Secours Community Hospital
- Montefiore St Luke'S Cornwall
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334584-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri State Surgical Associates PLLC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Anesthesia Associates of St. Francis, P.C | Past | Accepting new patients | |
| Recoverhealth Medical Services, PLLC | Past | Accepting new patients | |
| Eastern Pain Medicine PC | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
384 Crystal Run Rd
Ste 201
Middletown, NY 10941
Phone (845) 692-8780
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jody.machugh.1@3127.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Specialist
- Middletown, NY
- NPI 1801993175
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Specialist
- Poughkeepsie, NY
- NPI 1649223488
-
- Pain Medicine (Anesthesiology) Physician
- Fishkill, NY
- NPI 1831475896
-
- Surgery Physician
- Suffern, NY
- NPI 1184859381
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1801967484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 CRYSTAL RUN RD STE 201",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414073",
"telephone_number": "845-692-8780",
"fax_number": "845-692-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 CRYSTAL RUN RD STE 201",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414073",
"telephone_number": "845-692-8780",
"fax_number": "845-692-3439"
}
],
"practiceLocations": [
{
"address_1": "460 Gidney Ave",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "NY",
"postal_code": "125503117",
"country_code": "US",
"telephone_number": "845-692-8780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEPEDA",
"first_name": "JODY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F334584-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC#",
"identifier": "F334584-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.