Jennifer Metzgar, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

332604 Issued in NY

Practice address

953 Danby Rd
Ithaca, NY 14850-7000

Phone

(607) 274-3177

NPI assigned

Jan 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ithaca Medical Services PLLC

  • Family Medicine Physician
  • Ithaca, NY
  • NPI 1164166559

  NY

  Medicare reassignment NPD
• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1043374853
  NPD (past)
• Goldwyn & Boyland Physical Therapy PC

  • Physical Therapist
  • Cortland, NY
  • NPI 1659576296
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1255457917
  NPD (past)
• Otter Creek Medical Office, LLP

  • Family Medicine Physician
  • MC Graw, NY
  • NPI 1164478293
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1992783153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LOCKE RD",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "130739494",
            "telephone_number": "607-898-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 DANBY RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148507000",
            "telephone_number": "607-274-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGAR",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02654442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meraki Community Birth Center
• Elizabeth Mercer, PAC
• J. Tyson Merrill, PSY.D.
• Jessica Messersmith
• James C Metcalf, MD
• Samantha Meyer
• Stephen J Meyer, DO
• James J Meyers
• Patricia Meyers
• Jed A Michael

• All providers in Ithaca, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.

Verify at the official NPI Registry.