Individual provider Active NPI

Jennifer Lacina, FNP

  • Nurse Practitioner
  • Kingston, NY
National Provider Identifier
1932750783
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F344743-01 Issued in NY
Practice address
40 Hurley Ave Ste 4
Kingston, NY 12401-3738
Phone
(854) 338-5600
Fax
(845) 338-3058
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F344743-01 NY Primary

Addresses

Primary practice location

40 Hurley Ave Ste 4
Kingston, NY 12401-3738

Mailing address

40 Hurley Ave Ste 4
Kingston, NY 12401-3738
Phone (854) 338-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@eoneurgentcare.com Direct

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
I20191126002315 NY Practitioner - Nurse Practitioner 2163855446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21 Reade PL
Suite 2400
Poughkeepsie, NY 12601-3970
Phone (845) 214-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344743-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Nurse Practitioner CurrentSince Feb 14, 2022 Accepting new patients
Anderson Medical P.C. Dba Emergency One CurrentSince Oct 14, 2019 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Feb 14, 2022 Accepting new patients

Locations

40 Hurley Ave
Ste 4
Kingston, NY 12401
Phone (845) 338-5600

21 Reade Pl
Ste 2400
Poughkeepsie, NY 12601
Phone (845) 214-1300

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

21 Reade Pl
#4
Poughkeepsie, NY 12601

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Organizations & group practices 3

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1932750783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 4",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013738",
            "telephone_number": "854-338-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 4",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013738",
            "telephone_number": "854-338-5600",
            "fax_number": "845-338-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACINA",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F344743-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@eoneurgentcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "40 Hurley Ave Ste 4",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124013738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.