Jillian Elyse Herrington, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382665 Issued in NY

Practice address

1299 Route 9
Gansevoort, NY 12831-1560

Phone

(518) 761-6961

Fax

(518) 761-1006

NPI assigned

Jul 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jillian Elyse Neudecker Former name

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jherrington14495@direct.chppoc.masshiway.net
• Direct secure messaging: jillian.herrington.1@1823.direct.athenahealth.com

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.

• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Warrensburg, NY
  • NPI 1194738344

  NY

  Medicare reassignment NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Mineville, NY
  • NPI 1902900111
  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Salem, NY
  • NPI 1982417119
  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Champlain, NY
  • NPI 1245285170
  NPD (past)

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1922451863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300",
            "fax_number": "518-824-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 ROUTE 9",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311560",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 East St",
            "address_purpose": "LOCATION",
            "city": "Fort Edward",
            "state": "NY",
            "postal_code": "128281811",
            "country_code": "US",
            "telephone_number": "518-824-8630",
            "fax_number": "518-824-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "JILLIAN",
        "middle_name": "ELYSE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian.herrington.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian.herrington.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "48 East St",
            "city": "Fort Edward",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128281811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "NEUDECKER",
            "middle_name": "ELYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren E Gush, PA-C
• Tamara Lea Halford, LPN
• Salam Hawa, MD
• Jami Hawthorne
• Andrea Grace Hennessy, FNP
• Lisa Marie Howes, RN
• Hudson Headwaters Health Network
• Hudson Headwaters Health Network
• Jessica Lynn Hume, FNP-C
• Danielle Insco

• All providers in Gansevoort, NY
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.