Jenna Christine Van Dusen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

325964 Issued in NY

Practice address

6950 S Transit Rd
Lockport, NY 14094-6333

Phone

(716) 656-4588

Fax

(716) 817-1781

NPI assigned

Jul 3, 2019

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Buffalo Medical Group, P.C.Group PAC ID 7012820301, 233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care (Amherst) Home health agency, Williamsville, NY, CCN 337248
• Mount St. Mary's Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvandusen15476@direct.buffalomedicalgroup.com

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.

• Buffalo Medical Group, P.C.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1881659506
  Medicare reassignment Care Compare group NPD
• Buffalo Medical Group, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Lockport, NY
  • NPI 1982566782
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount St. Mary's Hospital of Niagara Falls

  dba Mount St. Mary's Hospital and Health Center

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation
• Tender Loving Care Health Care Services of Erie Niagara, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Williamsville, NY
  • NPI 1730134529
  Care Compare affiliation

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1811559420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1219",
            "fax_number": "716-817-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 S TRANSIT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946333",
            "telephone_number": "716-656-4588",
            "fax_number": "716-817-1781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 W Harrisburg Pike",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170574848",
            "country_code": "US",
            "telephone_number": "717-944-0491",
            "fax_number": "717-944-1436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1984 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152201813",
            "country_code": "US",
            "telephone_number": "412-343-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Essjay Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215795",
            "country_code": "US",
            "telephone_number": "716-656-4588",
            "fax_number": "716-817-1781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 N Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271842",
            "country_code": "US",
            "telephone_number": "716-656-4588",
            "fax_number": "716-817-1781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "JENNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT019552",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020806",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "325964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leleya Tsygyrlash
• Kelly Marie Tucker, FNP
• Victor Ryan Ubiles, DPT
• Amanda Ann Ulsifer, PMHNP
• Jessica A Vaeth, MSPT
• Alicia Vanderwalker, FPA-C
• Jeremy Jensen Vanduluitgaarden
• Connor Vanko, PA
• Mark Varallo, MD
• Nicholas Varallo, MD

• Family Medicine Physician in Lockport, NY
• Providers in Lockport, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.