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JANE M PRENDERGAST NP
NPI 1346322450
Nurse Practitioner - Psychiatric/Mental Health in Watertown, NY

Active since October 19, 2006PECOS Enrolled
218 STONE ST FL 2, COMMUNITY CLINIC OF JEFFERSON COUNTY, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jane M Prendergast Np NPPES

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

JANE M PRENDERGAST NP (NPI 1346322450) is an individual psychiatric/mental health provider in Watertown, New York, licensed in New York (F400868) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346322450
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJANE M PRENDERGASTCredential: NP
Location Address218 STONE ST FL 2, COMMUNITY CLINIC OF JEFFERSON COUNTYWatertown, NY 13601-3211
Mailing Address338 Frenchs Bay RdTully, NY 13159-9440 · (315) 317-6940
Phone(315) 782-7445
Fax(315) 779-1184
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 29, 2011
✔ NPI 1346322450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F400868
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 303635 (NY)
218 STONE ST FL 2, Watertown, NY 13601
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ41522NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane M Prendergast Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jane Prendergast reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upstate Cerebral Palsy, Inc.
62 mi
Clinic/Center
10708 N GAGE RD
Barneveld, NY 13304
  • Reassigned Medicare billing, New York enrollment
  • 67 clinicians in this Medicare group
NPI 1649624941 (315) 896-2654
Upstate Community Medical, PC
68 mi
Hospitalist
4900 BROAD RD
Syracuse, NY 13215
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1689620163 (315) 492-5305
Jacobus Center For Reproductive Health
96 mi
Ambulatory Family Planning Facility
60 CENTRAL AVE, CORTLAND COUNTY HEALTH DEPARTMENT
Cortland, NY 13045
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Cortland County County Treasurer
  • 23 clinicians in this Medicare group
NPI 1609876564 (607) 753-5135

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

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
35 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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.

Other Providers at the Same Location NPPES 6

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

MRS. CHRISTINA M ONEIL LCSWR
Social Worker
218 STONE ST FL 2
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SARAH V WARNER LCAT
Art Therapist
218 STONE ST FL 2, COMMUNITY CLINIC OF JEFFERSON COUNTY
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
NICOLE L PIERCE LMSW
Social Worker
218 STONE ST FL 2, COMMUNITY CLINIC OF JEFFERSON COUNTY
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
REBECCA M SANDS LMSW
Social Worker
218 STONE ST FL 2
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
MS. ELIZABETH A PARRIS MSW
Social Worker
218 STONE ST FL 2
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
ROSAMOND I MCAVOY LMSW
Social Worker
218 STONE ST FL 2, COMMUNITY CLINIC OF JEFFERSON COUNTY
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

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 Jane Prendergast's NPI number?

The NPI number for Jane Prendergast is 1346322450. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Jane Prendergast located?

Jane Prendergast practices at 218 Stone St Fl 2 Community Clinic Of Jefferson County, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Jane Prendergast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jane Prendergast enrolled in Medicare?

Yes. Jane Prendergast is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jane Prendergast's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Prendergast reassigns Medicare benefits to 3 organizations: Upstate Cerebral Palsy, Inc. (Barneveld, NY), Upstate Community Medical, PC (Syracuse, NY) and Jacobus Center For Reproductive Health (Cortland, 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 Jane Prendergast'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 Jane Prendergast was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.