Active NPI
Jessica Patrizio, PA-C
- Medical Physician Assistant
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 25 Hackett Blvd # MC69
Albany, NY 12208-3462 - Phone
- (518) 262-5176
- NPI assigned
- Jun 11, 2015
- Last updated
- Jun 11, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 018680 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Barton Healthcare System | Current | Accepting new patients | |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp | Current | Accepting new patients | |
| Barton Healthcare System | Current | 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
- https://epicproxy.et1299.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
dba Lake Tahoe Surgery Center
- Ambulatory Surgical Clinic/Center
- Zephyr Cove, NV
- NPI 1700963725
-
dba Tahoe Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Zephyr Cove, NV
- NPI 1609937911
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Orthopaedic Surgery Physician
- South Lake Tahoe, CA
- NPI 1902131287
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
-
dba Albany Medical Center Pharmacy
- Community/Retail Pharmacy
- Albany, NY
- NPI 1013944941
-
dba Barton Memorial Hospital Home Health
- Home Health Agency
- South Lake Tahoe, CA
- NPI 1356348890
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barton Memorial Hospital
- General Acute Care Hospital
- South Lake Tahoe, CA
- NPI 1003867565
-
dba CVMC Outpatient Behavioral Health Clinic
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
dba Carson Valley Health
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.