MATTHEW CLARK JENISON ACNP
NPI 1285994202
Nurse Practitioner - Acute Care in Potsdam, NY

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
50 LEROY ST, POTSDAM, NY 13676(315) 265-3300 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Clark Jenison Acnp NPPES

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

MATTHEW CLARK JENISON ACNP (NPI 1285994202) is an individual acute care provider in Potsdam, New York, licensed in New York (430637) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285994202
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMATTHEW CLARK JENISONCredential: ACNP
Location Address50 LEROY STPotsdam, NY 13676-1786
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 23, 2012
NPI 1285994202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 430637
50 LEROY ST, Potsdam, NY 13676

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

Matthew Clark Jenison Acnp 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 ID4082866850
PECOS Enrollment IDI20240827000900
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
117 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$17.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$98.73 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 20

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

Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676

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 Matthew Jenison's NPI number?

The NPI number for Matthew Jenison is 1285994202. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Matthew Jenison located?

Matthew Jenison practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 265-3300.

What is Matthew Jenison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Matthew Jenison enrolled in Medicare?

Yes. Matthew Jenison 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.

Is Matthew Jenison affiliated with any hospitals?

According to CMS data, Matthew Jenison is affiliated with Rutherford Regional Medical Center and Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Jenison was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.