MS. JESSICA ANN DONALDSON FNP
NPI 1174030001
Nurse Practitioner - Family in Syracuse, NY
About Ms. Jessica Ann Donaldson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JESSICA ANN DONALDSON FNP (NPI 1174030001) is an individual family provider in Syracuse, New York, licensed in New York (341938) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Ms. Jessica Ann Donaldson Fnp 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.
Medicare Billing Reassignments
9Medicare enrollment records show Jessica Donaldson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 170 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 clinicians in this Medicare group
Liverpool, NY 13090
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Wellnow Urgent Care, P.C.
- 511 clinicians in this Medicare group
Utica, NY 13502
- Reassigned Medicare billing, New York enrollment
- 657 clinicians in this Medicare group
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: St Joseph's Physician Health PC
- 304 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 356 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 179 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, New York enrollment
- 158 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, New York enrollment
- 178 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wynn Hospital
Acute Care Hospitals · Utica, NYUniversity Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Donaldson's NPI number?
The NPI number for Jessica Donaldson is 1174030001. It was assigned to this individual provider in the NPPES registry on December 31, 2017.
Where is Jessica Donaldson located?
Jessica Donaldson practices at 750 East Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4363.
What is Jessica Donaldson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Donaldson enrolled in Medicare?
Yes. Jessica Donaldson 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 Jessica Donaldson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Donaldson reassigns Medicare benefits to 9 organizations: Upstate Emergency Medicine, Inc (Syracuse, NY), St Josephs Medical PC (Liverpool, NY), Wellnow Urgent Care, PC (Liverpool, NY), Mvhs Inc (Utica, NY), St. Joseph's Physician Health, P.C. (Troy, NY) and 4 more organizations, listed in the Medicare section above. 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 Jessica Donaldson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Donaldson affiliated with any hospitals?
According to CMS data, Jessica Donaldson is affiliated with Wynn Hospital and University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Jessica Donaldson was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Jessica Ann Donaldson, FNP · NPI 1174030001
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since December 31, 2017.
## Identity
- **NPI:** 1174030001 (Entity type: Individual)
- **Enumerated:** December 31, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 341938 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 EAST ADAMS ST, Syracuse, NY 13210
- **Phone:** (315) 464-4363 · **Fax:** (315) 464-8690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Upstate Emergency Medicine, Inc (NPI 1275589582, Syracuse, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY); Wellnow Urgent Care, PC (NPI 1669825162, Liverpool, NY); Mvhs Inc (NPI 1770690737, Utica, NY); St. Joseph's Physician Health, P.C. (NPI 1154376770, Troy, NY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 15, 2022
- **Other identifiers:** Medicaid 05053223 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1174030001) · Data from the CMS NPPES public registry.