Individual provider Active NPI

Jessica Patrizio, PA-C

  • Medical Physician Assistant
  • Albany, NY
National Provider Identifier
1922489384
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
25 Hackett Blvd # MC69
Albany, NY 12208-3462
Phone
(518) 262-5176
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

25 Hackett Blvd # MC69
Albany, NY 12208-3462

Mailing address

25 Hackett Blvd # MC69
Albany, NY 12208-3462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NV, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150902001270 NY Practitioner - Physician Assistant 8123334372
I20160602001096 NV Practitioner - Physician Assistant 8123334372 Reassigns benefits to 4 organizations
I20211020001399 CA Practitioner - Physician Assistant 8123334372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

155 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8900

165 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8950

2074 Lake Tahoe Blvd
Suite 4
South Lake Tahoe, CA 96150-6408
Phone (530) 543-5554

2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5807

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018680NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 27, 2015 Accepting new patients
Albany Medical College CurrentSince Jul 27, 2015 Accepting new patients
Barton Healthcare System CurrentSince Jan 28, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Apr 20, 2016 Accepting new patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp CurrentSince Jan 28, 2024 Accepting new patients
Barton Healthcare System CurrentSince Jan 28, 2024 Accepting new patients
Albany Med Health System Past Accepting new patients
Barton Healthcare System Past Accepting new patients

Locations

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

925 Tahoe Blvd
Ste 105
Incline Village, NV 89451
Phone (530) 543-5799

212 Elks Point Rd
Unit 201
Zephyr Cove, NV 89448
Phone (775) 588-9188

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

25 Hackett Blvd
#69
Albany, NY 12208
Phone (518) 262-0091

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Interoperability endpoints

  • FHIR API: https://epicproxy.et1299.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jpatrizio194537@direct.renown.org

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1922489384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HACKETT BLVD # MC69",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HACKETT BLVD # MC69",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083462",
            "telephone_number": "518-262-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIZIO",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.