MRS. JENNIFER CASSIDY FNP
NPI 1053579524
Nurse Practitioner in Smithtown, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 30, 2008PECOS Enrolled

260 MIDDLE COUNTRY RD, SUITE 214, SMITHTOWN, NY 11787(631) 265-5050(631) 265-3304 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Jennifer Cassidy Fnp NPPES

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

MRS. JENNIFER CASSIDY FNP (NPI 1053579524) is an individual nurse practitioner in Smithtown, New York, licensed in New York (F334886) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053579524

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JENNIFER CASSIDYCredential: FNP

Location Address260 MIDDLE COUNTRY RD, SUITE 214Smithtown, NY 11787-2982

Mailing Address260 Middle Country Rd, Suite 214Smithtown, NY 11787-2982 · (631) 265-5050 · Fax (631) 265-3304

Phone(631) 265-5050

Fax(631) 265-3304

Sole ProprietorNo

Enumeration DateMay 30, 2008

Last NPPES UpdateDecember 1, 2010

✔ NPI 1053579524 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 · F334886

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.

260 MIDDLE COUNTRY RD, Smithtown, NY 11787

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Cassidy Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.