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JENNIFER BIEVENUE
NPI 1124819982
Physician Assistant in Altamont, NY

Active since May 13, 2025PECOS EnrolledAccepts Medicare Assignment
2508 WESTERN AVE, ALTAMONT, NY 12009(518) 690-0177 Get Directions Write a Review

NPPES record last updated: August 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Bievenue NPPES

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

JENNIFER BIEVENUE (NPI 1124819982) is an individual physician assistant in Altamont, New York, licensed in New York (034140) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124819982
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER BIEVENUE
Location Address2508 WESTERN AVEAltamont, NY 12009-9485
Mailing Address2508 Western AveAltamont, NY 12009-9485 · (518) 690-0177
Phone(518) 690-0177
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 13, 2025
Last NPPES UpdateAugust 3, 2025
NPPES CertifiedAugust 3, 2025
✔ NPI 1124819982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034140
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2508 WESTERN AVE, Altamont, NY 12009
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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 and accepts Medicare assignment

Jennifer Bievenue 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 ID7315447422
PECOS Enrollment IDI20250822003972
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 12009 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

DR. AHMED ALAA HAWASH MD, PHD
Dermatology
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (212) 283-3000
MARY SPRATT PA
Physician Assistant
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (518) 690-0177
KARYN A PAUZE PA
Physician Assistant
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (518) 690-0177
NINA VLAINICH FNP-BC
Nurse Practitioner (Family)
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (518) 690-0177
RAYMOND FERTIG MD
Dermatology
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (212) 283-3000
THETA DERMATOLOGY PC
Dermatology
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (518) 690-0177
ALLISON JEAN POTOLSKI PA
Physician Assistant
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (518) 690-0177
SAMANTHA L LAGACE PA
Physician Assistant
2508 WESTERN AVE
ALTAMONT, NY 12009
Albany County (518) 690-0177

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 Bievenue's NPI number?

The NPI number for Jennifer Bievenue is 1124819982. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Jennifer Bievenue located?

Jennifer Bievenue practices at 2508 Western Ave, Altamont, NY 12009. The listed phone number is (518) 690-0177.

What is Jennifer Bievenue's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Bievenue enrolled in Medicare?

Yes. Jennifer Bievenue 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.

When was this NPI record last updated?

The NPPES record for Jennifer Bievenue was last updated on August 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.