JESSICA NEDELKA FNP
NPI 1073235008
Nurse Practitioner - Family in Rego Park, NY
About Jessica Nedelka Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA NEDELKA FNP (NPI 1073235008) is an individual family provider in Rego Park, New York, licensed in New York (F348541) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Nedelka Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Nedelka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
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 11374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
REGO PARK, NY 11374
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 Nedelka's NPI number?
The NPI number for Jessica Nedelka is 1073235008. It was assigned to this individual provider in the NPPES registry on September 15, 2022.
Where is Jessica Nedelka located?
Jessica Nedelka practices at 9525 Queens Blvd, Rego Park, NY 11374. The listed phone number is (516) 734-8500.
What is Jessica Nedelka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Nedelka enrolled in Medicare?
Yes. Jessica Nedelka is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Nedelka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Nedelka reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The 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 Nedelka'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 Nedelka was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jessica Nedelka, FNP · NPI 1073235008
Family physician in Rego Park, New York. Individual provider, active in the CMS NPPES registry since September 15, 2022.
## Identity
- **NPI:** 1073235008 (Entity type: Individual)
- **Enumerated:** September 15, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F348541 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 9525 QUEENS BLVD, Rego Park, NY 11374-4510
- **Phone:** (516) 734-8500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1073235008) · Data from the CMS NPPES public registry.