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JENNIFER RACHEL VIRGILE MD
NPI 1104482090
Student in an Organized Health Care Education/Training Program in Oceanside, NY

Active since May 15, 2019PECOS EnrolledAccepts Medicare Assignment
361 EVANS AVE, OCEANSIDE, NY 11572(631) 805-5419 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Rachel Virgile Md NPPES

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

JENNIFER RACHEL VIRGILE MD (NPI 1104482090) is an individual student in an organized health care education/training program in Oceanside, New York and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1104482090
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER RACHEL VIRGILECredential: MD
Location Address361 EVANS AVEOceanside, NY 11572-3831
Mailing Address361 Evans AveOceanside, NY 11572-3831 · (631) 805-5419
Phone(631) 805-5419
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 15, 2019
✔ NPI 1104482090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
361 EVANS AVE, Oceanside, NY 11572
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Secondary Practice Location 1

Location 1374 Stanhope StBrooklyn, NY 11237-4434 · Phone (718) 963-6734

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

Jennifer Rachel Virgile Md 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 ID8022493782
PECOS Enrollment IDI20220915002496
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

2

Medicare enrollment records show Jennifer Virgile reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Samaritan Hospital Medical Center
19 mi
General Acute Care Hospital
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group
NPI 1902865355 (631) 376-3000
Samaritan Emergency Medical Services, PC
19 mi
Emergency Medicine
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 91 clinicians in this Medicare group
NPI 1104978014 (631) 376-3000

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
329 services321 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
253 services247 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
56 services56 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services44 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

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 Jennifer Virgile's NPI number?

The NPI number for Jennifer Virgile is 1104482090. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Jennifer Virgile located?

Jennifer Virgile practices at 361 Evans Ave, Oceanside, NY 11572. The listed phone number is (631) 805-5419.

What is Jennifer Virgile's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Virgile enrolled in Medicare?

Yes. Jennifer Virgile 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 Jennifer Virgile's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Virgile reassigns Medicare benefits to 2 organizations: Good Samaritan Hospital Medical Center (West Islip, NY) and Samaritan Emergency Medical Services, PC (West Islip, 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 Jennifer Virgile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Virgile affiliated with any hospitals?

According to CMS data, Jennifer Virgile is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Virgile was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.