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JENNIFER LIEBERMAN
NPI 1255992046
Nurse Practitioner - Family in Albany, NY

Active since June 24, 2019PECOS Enrolled
76.7/100
CMS Quality Rating
1365 WASHINGTON AVE STE 100, ALBANY, NY 12206(518) 459-8106 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Lieberman NPPES

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

JENNIFER LIEBERMAN (NPI 1255992046) is an individual family provider in Albany, New York, licensed in New York (344566) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255992046
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LIEBERMAN
Location Address1365 WASHINGTON AVE STE 100Albany, NY 12206-1098
Mailing Address1365 Washington Ave Ste 100Albany, NY 12206-1098 · (518) 459-8106
Phone(518) 459-8106
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2019
Last NPPES UpdateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1255992046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 344566
1365 WASHINGTON AVE STE 100, Albany, NY 12206
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6800850322
PECOS Enrollment IDI20190731000807
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 Reassignment

Medicare enrollment records show Jennifer Lieberman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albany Medical College
2.8 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

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 4

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,000 services14 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
28 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12206 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Other Providers at the Same Location NPPES 3

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

REBECCA ANN MARRONE FNP-BC
Nurse Practitioner (Family)
1365 WASHINGTON AVE STE 100
ALBANY, NY 12206
Albany County (518) 459-8106
AMANDA BOURNE PA-C
Physician Assistant
1365 WASHINGTON AVE STE 100
ALBANY, NY 12206
Albany County (518) 459-8106
MRS. DANA RUGGLES PA-C
Physician Assistant (Medical)
1365 WASHINGTON AVE STE 100
ALBANY, NY 12206
Albany County (518) 459-8106

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 Lieberman's NPI number?

The NPI number for Jennifer Lieberman is 1255992046. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Jennifer Lieberman located?

Jennifer Lieberman practices at 1365 Washington Ave Ste 100, Albany, NY 12206. The listed phone number is (518) 459-8106.

What is Jennifer Lieberman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Lieberman enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Lieberman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Lieberman reassigns Medicare benefits to Albany Medical College (Albany, NY). The 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 Lieberman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Lieberman affiliated with any hospitals?

According to CMS data, Jennifer Lieberman is affiliated with Albany Medical Center Hospital and Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Lieberman was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.