Active NPI
Hannah De Jesus, DNP, APRN, AGACNP-BC
- Acute Care Nurse Practitioner
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 431790
- Practice address
- 5 Palisades Dr Ste 100
Albany, NY 12205-6433 - Phone
- (518) 438-4496
- NPI assigned
- Jul 20, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10.179139-TEMP | CT | |
| Acute Care Nurse Practitioner | 363LA2100X | 009685 | CT | |
| Acute Care Nurse Practitioner | 363LA2100X | 431790 | NY | Primary |
Addresses
Primary practice location
5 Palisades Dr Ste 100
Albany, NY 12205-6433
Mailing address
PO Box 14890
Albany, NY 12212-4890
Other practice location 1
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-4101
Other practice location 2
2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 272-0331
Other practice location 3
2501 N Orange Ave Ste 401
Orlando, FL 32804-4644
Phone (407) 303-7283
Other names 1
- Hannah Mumford
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Palisades Dr
Suite 100
Albany, NY 12205-6433
Phone (518) 438-4496
Hospital & facility affiliations
- St Peter'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10.179139-TEMP | CT | MD | Registered Nurse |
| 431790 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
5 Palisades Dr
Ste 100
Albany, NY 12205
Phone (518) 438-4496
47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791
50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
Interoperability endpoints
- hmumford2474738@direct.trinity-health.org
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1891303434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PALISADES DR STE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122056433",
"telephone_number": "518-438-4496"
}
],
"practiceLocations": [
{
"address_1": "47 New Scotland Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083412",
"country_code": "US",
"telephone_number": "518-262-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 New Hampshire Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121801764",
"country_code": "US",
"telephone_number": "518-272-0331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 N Orange Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328044644",
"country_code": "US",
"telephone_number": "407-303-7283",
"fax_number": "407-303-0473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS",
"first_name": "HANNAH",
"name_prefix": "Dr.",
"credential": "DNP, APRN, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "10.179139-TEMP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "009685",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "431790",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP - Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "5 Palisades Dr Ste 100",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122056433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "MUMFORD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.