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MRS. JESSICA TUZZOLINO DI PESO NP
NPI 1043554041
Nurse Practitioner - Family in Syracuse, NY

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
4900 BROAD RD., UPSTATE COMMUNITY MEDICAL, SYRACUSE, NY 13215(315) 464-8200(315) 464-8206 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jessica Tuzzolino Di Peso Np NPPES

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

MRS. JESSICA TUZZOLINO DI PESO NP (NPI 1043554041) is an individual family provider in Syracuse, New York, licensed in New York (337407) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043554041
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA TUZZOLINO DI PESOCredential: NP
Location Address4900 BROAD RD., UPSTATE COMMUNITY MEDICALSyracuse, NY 13215-2342
Mailing Address750 E Adams St, Regional Oncology CenterSyracuse, NY 13210-2342 · (315) 464-8200 · Fax (315) 464-8206
Phone(315) 464-8200
Fax(315) 464-8206
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateJanuary 28, 2016
✔ NPI 1043554041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 337407✔ Licensed in NY · F337407-1
4900 BROAD RD., Syracuse, NY 13215
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Other Names 1

Former Name (1)Ms. Jessica Lynn Tuzzolino Np

Other Identifiers 2

Medicaid03519968NY
Medicare PINJ400082892NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Tuzzolino Di Peso Np 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 ID9335394394
PECOS Enrollment IDI20130225000322
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jessica Di Peso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upstate Community Medical, PC
Same address
Hospitalist
4900 BROAD RD
Syracuse, NY 13215
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1689620163 (315) 492-5305
Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
2.7 mi
Internal Medicine
750 E ADAMS ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
NPI 1063468239 (315) 464-4505
Syracuse Home Association
13 mi
Skilled Nursing Facility
7740 MEIGS RD
Baldwinsville, NY 13027
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1396742482 (315) 638-2521

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13215 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Di Peso's NPI number?

The NPI number for Jessica Di Peso is 1043554041. It was assigned to this individual provider in the NPPES registry on November 15, 2012. The provider is also known as Ms. Jessica Lynn Tuzzolino Np.

Where is Jessica Di Peso located?

Jessica Di Peso practices at 4900 Broad Rd. Upstate Community Medical, Syracuse, NY 13215. The listed phone number is (315) 464-8200.

What is Jessica Di Peso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Di Peso enrolled in Medicare?

Yes. Jessica Di Peso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Di Peso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Di Peso reassigns Medicare benefits to 3 organizations: Upstate Community Medical, PC (Syracuse, NY), Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY) and Syracuse Home Association (Baldwinsville, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Di Peso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Di Peso was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.