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JENNIFER WACHALA DO
NPI 1235717810
Student in an Organized Health Care Education/Training Program in Watertown, NY

Active since April 01, 2021PECOS Enrolled
830 WASHINGTON ST, WATERTOWN, NY 13601(315) 779-5244 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Wachala Do NPPES

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

JENNIFER WACHALA DO (NPI 1235717810) is an individual student in an organized health care education/training program in Watertown, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235717810
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER WACHALACredential: DO
Location Address830 WASHINGTON STWatertown, NY 13601-4099
Mailing Address830 Washington StWatertown, NY 13601-4034
Phone(315) 779-5244
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1235717810 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.
830 WASHINGTON ST, Watertown, NY 13601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8022576339
PECOS Enrollment IDI20260818000277
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 Wachala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester
104 mi
Primary Care
738 LIBRARY RD., 270617
Rochester, NY 14627
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1548583305 (585) 275-2662
Infectious Disease Clinical
104 mi
Infectious Disease
601 ELMWOOD AVE, BOX 689
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 48 clinicians in this Medicare group
NPI 1780631408 (585) 275-5871

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

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.

JIN JU YI
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DR. APARANJI PALLAVI BALABHADRAPATRUNI MD
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DEANNA HIRSCHEY PT
Physical Therapist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
JEFFREY CLINTON KRAUSS PA
Physician Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-4813
TINA LIVINGSTON PTA
Physical Therapy Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
ANDREA MARY FAVRET RPH
Pharmacist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4063
MS. EMILY MARIE RICHARDS CRNA
Nurse Anesthetist, Certified Registered
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4313
DR. SHRIPAD BRAHMANAND PANDE MD
Internal Medicine
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4000

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 Wachala's NPI number?

The NPI number for Jennifer Wachala is 1235717810. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Jennifer Wachala located?

Jennifer Wachala practices at 830 Washington St, Watertown, NY 13601. The listed phone number is (315) 779-5244.

What is Jennifer Wachala'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 Wachala enrolled in Medicare?

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

Which organizations bill Medicare for Jennifer Wachala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wachala reassigns Medicare benefits to 2 organizations: University Of Rochester (Rochester, NY) and Infectious Disease Clinical (Rochester, 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 Wachala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Wachala was last updated on April 1, 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.