JENNIFER MARIE ENDERLINE AG-ACNP
NPI 1356813653
Nurse Practitioner - Acute Care in New York, NY

Q: What is Jennifer Enderline's NPI number?

The NPI number for Jennifer Enderline is 1356813653. It was assigned to this individual provider in the NPPES registry on December 26, 2018. The provider is also known as Jennifer Marie White Ag-Acnp.

Q: What is Jennifer Enderline's specialty?

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

Active since December 26, 2018PECOS EnrolledAccepts Medicare Assignment

169 MADISON AVE STE 2817, NEW YORK, NY 10016(888) 553-2823(888) 553-2823 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Jun 20, 2024, Aug 14, 2023 and 2 more (5 updates tracked since 2018).

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About Jennifer Marie Enderline Ag-acnp NPPES

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

JENNIFER MARIE ENDERLINE AG-ACNP (NPI 1356813653) is an individual acute care provider in New York, New York, licensed in Arizona (220412) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356813653

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNIFER MARIE ENDERLINECredential: AG-ACNP

Location Address169 MADISON AVE STE 2817New York, NY 10016-5101

Mailing Address169 Madison Ave Ste 2817New York, NY 10016-5101 · (888) 553-2823 · Fax (888) 553-2823

Phone(888) 553-2823

Fax(888) 553-2823

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 26, 2018

Last NPPES UpdateAugust 20, 20245 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1356813653 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

Licenses✔ Licensed in AZ · 220412✔ Licensed in NY · 433088✔ Licensed in FL · APRN11028038✔ Licensed in MI · 4704407614✔ Licensed in TX · 1141255

169 MADISON AVE STE 2817, New York, NY 10016

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Other Names 1

Former Name (1)Jennifer Marie White Ag-acnp

Secondary Practice Locations 5

Location 12723 S State St Ste 150Ann Arbor, MI 48104-6188 · Phone (888) 553-2823 · Fax (888) 553-2823

Location 2100 S Ashley Dr Ste 600Tampa, FL 33602-5300 · Phone (888) 553-2823 · Fax (888) 553-2823

Location 35851 Legacy Cir Fl 6Plano, TX 75024-5966 · Phone (888) 553-2823 · Fax (888) 553-2823

Location 44821 N Stone AveTucson, AZ 85704-5727 · Phone (520) 314-3300

Location 5601 John St Ste M-318Kalamazoo, MI 49007-5383 · Phone (269) 349-9745

Other Identifiers 1

Medicaid1356813653MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, McLaren Health Plan Community and more.Insurance ›

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

Jennifer Marie Enderline Ag-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 ID5698009660

PECOS Enrollment IDI20210804003846, I20240812002364, I20250417003524

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 9

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

148 services146 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

140 services135 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

55 services55 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

51 services49 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

25 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

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Other Providers at the Same Location NPPES 8

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

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Nurse Practitioner (Family)