Active NPI
Jessica Lynne Page, FNP
- Family Nurse Practitioner
- Vestal, NY
National Provider Identifier
1821368663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 337041
- Practice address
- 4417 Vestal Pkwy E
Vestal, NY 13850-3556 - Phone
- (607) 770-7365
- Fax
- (607) 729-5882
- NPI assigned
- Jan 11, 2012
- Last updated
- Apr 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011899 | PA | |
| Family Nurse Practitioner | 363LF0000X | 337041 | NY | Primary |
Addresses
Primary practice location
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Mailing address
33 Lewis Rd
FL 2
Binghamton, NY 13905
Phone (607) 770-0025
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 86.74
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337041 | NY | MD | Family Nurse Practitioner |
| SP011899 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Johnson City, NY
- NPI 1760489405
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
-
- Critical Access Hospital
- Susquehanna, PA
- NPI 1932138161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1821368663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"address_2": "FL 2",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-770-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 VESTAL PKWY E",
"city": "VESTAL",
"state": "NY",
"postal_code": "138503556",
"telephone_number": "607-770-7365",
"fax_number": "607-729-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011899",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestal, NY
- Our Lady of Lourdes Memorial Hospital Inc (Lourdes At Home)
- Our Lady of Lourdes Memorial Hospital, Inc (Hospice At Lourdes)
- Our Lady of Lourdes Memorial Hospital, Inc. (Lourdes Pharmacy)
- Our Lady of Lourdes Memorial Hospital, Inc. (Lourdes at Home)
- Meghan Pacheco, PT
- Lauren S Page, M.A.,
- Painted Post, LLC (Brookdale Vestal West)
- Painted Post, LLC (Woodland Manor)
- Lisa Palkert-Dawes, PMHNP
- Lung Hsiung Pan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.