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JESSICA R ROTHBERG
NPI 1346836392
Nurse Practitioner - Psychiatric/Mental Health in Oswego, NY

Active since December 14, 2020PECOS EnrolledAccepts Medicare Assignment
29 E CAYUGA ST, OSWEGO, NY 13126(315) 326-4100(315) 326-4290 Get Directions Write a Review

NPPES record last updated: June 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 29, 2025, Dec 14, 2020 (2 updates tracked since 2020).

About Jessica R Rothberg NPPES

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

JESSICA R ROTHBERG (NPI 1346836392) is an individual psychiatric/mental health provider in Oswego, New York, licensed in New York (407134) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2020).

NPPES Registry Identity

NPI1346836392
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA R ROTHBERG
Location Address29 E CAYUGA STOswego, NY 13126-1241
Mailing Address110 W 6th StOswego, NY 13126-2507 · (315) 349-5511
Phone(315) 326-4100
Fax(315) 326-4290
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2020
Enumeration DateDecember 14, 2020
Last NPPES UpdateJune 29, 20252 updates tracked since enumeration
NPPES CertifiedJune 29, 2025
✔ NPI 1346836392 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 · 407134
Also ListedSocial WorkerTaxonomy 104100000X
29 E CAYUGA ST, Oswego, NY 13126
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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

Jessica R Rothberg 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 ID2668970880
PECOS Enrollment IDI20250807002574
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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 20

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

MR. ANDREW JAMES FIDURKO LCSW
Social Worker (Clinical)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 326-4100
MS. KATHARINE WALSER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 326-4100
ANWARUL KARIM MD
Psychiatry & Neurology (Psychiatry)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 326-4100
MRS. VICTORIA GRAY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 326-4100
SALMAN M HAFEEZ
Counselor (Mental Health)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 326-4100
KARA L GRANATO RN
Registered Nurse (Psychiatric/Mental Health)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 349-4100
SUSAN CROUCH RN
Registered Nurse (Psychiatric/Mental Health)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 326-4100
ALBA DE LOS SANTOS
Counselor (Mental Health)
29 E CAYUGA ST
OSWEGO, NY 13126
Oswego County (315) 326-4100

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 Rothberg's NPI number?

The NPI number for Jessica Rothberg is 1346836392. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is Jessica Rothberg located?

Jessica Rothberg practices at 29 E Cayuga St, Oswego, NY 13126. The listed phone number is (315) 326-4100.

What is Jessica Rothberg's specialty?

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

Is Jessica Rothberg enrolled in Medicare?

Yes. Jessica Rothberg 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.

When was this NPI record last updated?

The NPPES record for Jessica Rothberg was last updated on June 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.