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JENNIFER L DRIESSEN
NPI 1134718638
Nurse Practitioner - Adult Health in Fairport, NY

Active since January 11, 2021PECOS Enrolled
100 SAINT CAMILLUS WAY, FAIRPORT, NY 14450(585) 377-4000 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer L Driessen NPPES

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

JENNIFER L DRIESSEN (NPI 1134718638) is an individual adult health provider in Fairport, New York, licensed in New York (309959) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134718638
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNIFER L DRIESSEN
Location Address100 SAINT CAMILLUS WAYFairport, NY 14450-8500
Mailing Address5948 Calm Lake DrFarmington, NY 14425-8949
Phone(585) 377-4000
Sole ProprietorNo
Enumeration DateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1134718638 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 · 309959
100 SAINT CAMILLUS WAY, Fairport, NY 14450
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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 (PECOS)

Jennifer L Driessen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14450 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.72 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CPR ASSOCIATES LLC.
Skilled Nursing Facility
100 SAINT CAMILLUS WAY
FAIRPORT, NY 14450
Monroe County (585) 377-4000

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 Driessen's NPI number?

The NPI number for Jennifer Driessen is 1134718638. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Jennifer Driessen located?

Jennifer Driessen practices at 100 Saint Camillus Way, Fairport, NY 14450. The listed phone number is (585) 377-4000.

What is Jennifer Driessen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Driessen enrolled in Medicare?

Yes. Jennifer Driessen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Driessen was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.