JESSICA LYNN HAFEZI
NPI 1003380528
Nurse Practitioner in Buffalo, NY

Active since January 17, 2019PECOS EnrolledAccepts Medicare Assignment
ELM AND CARLTON STREETS, BUFFALO, NY 14263(716) 845-2300 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2021, Aug 10, 2019, Jan 17, 2019 (3 updates tracked since 2019).

About Jessica Lynn Hafezi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LYNN HAFEZI (NPI 1003380528) is an individual nurse practitioner in Buffalo, New York, licensed in New York (343713) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003380528
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA LYNN HAFEZI
Location AddressELM AND CARLTON STREETSBuffalo, NY 14263-0001
Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 17, 2019
Last NPPES UpdateJanuary 14, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1003380528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 343713
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

ELM AND CARLTON STREETS, Buffalo, NY 14263

Other Names 1

Former Name (1)Jessica Smith

Other Identifiers 1

Other343713NY · Np-nys License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Lynn Hafezi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941540801
PECOS Enrollment IDI20190313000719
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services32 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
44 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Pediatrics (Pediatric Hematology-Oncology)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Physician Assistant
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Anesthesiology
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Physician Assistant
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003380528, enumerated as an "individual" on January 17, 2019.

The provider is located at ELM AND CARLTON STREETS BUFFALO, NY 14263 and the phone number is (716) 845-2300.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.