JENNIFER MARIE ENDERLINE AG-ACNP NPI 1356813653

NPI Information

  • NPI: 1356813653
  • Provider Name: JENNIFER MARIE ENDERLINE, AG-ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 169 MADISON AVE STE 2817
    NEW YORK, NY
    ZIP 10016
  • Phone: (888) 553-2823

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NPI Details

Jennifer Marie Enderline, AG-ACNP is an acute care nurse practitioner in New York, NY with 7 years of experience. Jennifer Marie Enderline, AG-ACNP NPI is 1356813653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

169 MADISON AVE STE 2817
NEW YORK, NY
ZIP 10016-101
Phone: (888) 553-2823
Fax: (888) 553-2823

The NPI 1356813653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 12/26/2018 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care433088NEW YORKNo
2363LA2100XNurse PractitionerAcute CareAPRN11028038FLORIDANo
3363LA2100XNurse PractitionerAcute Care4704407614MICHIGANNo
4363LA2100XNurse PractitionerAcute Care1141255TEXASNo
5363LA2100XNurse PractitionerAcute Care220412ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356813653MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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