Individual provider Active NPI

Jessica Ann King, FNP

  • Family Nurse Practitioner
  • Webster, NY
National Provider Identifier
1881417947
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355391 Issued in NY
Practice address
1065 Ridge Rd
Webster, NY 14580-2952
Phone
(585) 872-0650
Fax
(585) 872-2474
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355391 NY Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 355391 NY

Addresses

Primary practice location

1065 Ridge Rd
Webster, NY 14580-2952

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1335 Portland Ave
Rochester, NY 14621-2706
Phone (585) 504-0400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120002290 NY Practitioner - Nurse Practitioner 6901331479 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Medical Group, PC.Group PAC ID 9638366313, 4 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

45 Webster Commons Blvd
Suite 200
Webster, NY 14580-3813
Phone (585) 872-0650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355391NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC Family Medicine CurrentSince Oct 23, 2024 Accepting new patients
Rochester General Hospital CurrentSince Feb 1, 2026 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Feb 1, 2026 Accepting new patients
Webster Medical Group, PC. Family Medicine CurrentSince May 1, 2025 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Feb 1, 2026 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1335 Portland Ave
Rochester, NY 14621
Phone (585) 544-4000

1065 Ridge Rd
Webster, NY 14580
Phone (585) 872-2273

45 Webster Commons Blvd
#200
Webster, NY 14580
Phone (585) 872-0650

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.

Hospital & facility affiliations 2

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1881417947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802952",
            "telephone_number": "585-872-0650",
            "fax_number": "585-872-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212706",
            "country_code": "US",
            "telephone_number": "585-504-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355391",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "355391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.