JESSICA FAY A ALI AGNP-C, OCN
NPI 1063146140
Nurse Practitioner - Adult Health in New York, NY

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
1751 YORK AVE, NEW YORK, NY 10128(212) 879-3496 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Fay A Ali Agnp-c, Ocn NPPES

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

JESSICA FAY A ALI AGNP-C, OCN (NPI 1063146140) is an individual adult health provider in New York, New York, licensed in New York (310453) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063146140
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJESSICA FAY A ALICredential: AGNP-C, OCN
Location Address1751 YORK AVENew York, NY 10128-6828
Mailing Address1751 York AveNew York, NY 10128-6828
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
NPI 1063146140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 310453
1751 YORK AVE, New York, NY 10128

Secondary Practice Location 1

Location 11275 York AveNew York, NY 10065-6007 · Phone (212) 639-2000

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 Fay A Ali Agnp-c, Ocn 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 ID5496124232
PECOS Enrollment IDI20221216002302
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 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Advance Care Plan
100%765 patients5/55-star benchmark: 100%
Breast Cancer Screening
93%623 patients5/55-star benchmark: 93%
Colorectal Cancer Screening
100%935 patients5/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
99%3,807 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
100%71 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
100%22 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 719 patients
100%719 patients
Provide Patients Electronic Access to Their Health Information
91%1,922 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Gastroenterology)
1751 YORK AVE
NEW YORK, NY 10128
Anesthesiology
1751 YORK AVE
NEW YORK, NY 10128
Pathology (Clinical Pathology)
1751 YORK AVE
NEW YORK, NY 10128
Anesthesiology
1751 YORK AVE
NEW YORK, NY 10128
Internal Medicine (Gastroenterology)
1751 YORK AVE
NEW YORK, NY 10128
Internal Medicine (Hematology & Oncology)
1751 YORK AVE
NEW YORK, NY 10128
Internal Medicine (Hematology & Oncology)
1751 YORK AVE
NEW YORK, NY 10128
Internal Medicine (Gastroenterology)
1751 YORK AVE
NEW YORK, NY 10128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063146140, enumerated as an "individual" on July 13, 2022.

The provider is located at 1751 YORK AVE NEW YORK, NY 10128 and the phone number is (212) 879-3496.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.