JODELLE INGRAM
NPI 1083377352
Nurse Practitioner - Primary Care in Bronx, NY
About Jodelle Ingram NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODELLE INGRAM (NPI 1083377352) is an individual primary care provider in Bronx, New York, licensed in New York (310492) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jodelle Ingram is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
BRONX, NY 10467
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 Jodelle Ingram's NPI number?
The NPI number for Jodelle Ingram is 1083377352. It was assigned to this individual provider in the NPPES registry on October 14, 2021.
Where is Jodelle Ingram located?
Jodelle Ingram practices at 612 Allerton Ave, Bronx, NY 10467. The listed phone number is (718) 519-4125.
What is Jodelle Ingram's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jodelle Ingram enrolled in Medicare?
Yes. Jodelle Ingram is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jodelle Ingram was last updated on November 12, 2021. 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.
# Jodelle Ingram · NPI 1083377352
Primary Care physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 14, 2021.
## Identity
- **NPI:** 1083377352 (Entity type: Individual)
- **Enumerated:** October 14, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 310492 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 612 ALLERTON AVE, Bronx, NY 10467-7404
- **Phone:** (718) 519-4125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 12, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1083377352) · Data from the CMS NPPES public registry.