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JESSICA ELIZABETH ROUGH
NPI 1467114306
Nurse Practitioner - Pediatrics in Orangeburg, NY

Active since October 07, 2021PECOS Enrolled
30 RAMLAND RD S STE 200A, ORANGEBURG, NY 10962(845) 359-0010(845) 359-3414 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2025, Oct 7, 2021 (2 updates tracked since 2021).

About Jessica Elizabeth Rough NPPES

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

JESSICA ELIZABETH ROUGH (NPI 1467114306) is an individual pediatrics provider in Orangeburg, New York, licensed in New York (F347757) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467114306
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA ELIZABETH ROUGH
Location Address30 RAMLAND RD S STE 200AOrangeburg, NY 10962-2626
Mailing Address30 Ramland Rd S Ste 200aOrangeburg, NY 10962-2626 · (845) 359-0010 · Fax (845) 359-3414
Phone(845) 359-0010
Fax(845) 359-3414
Sole ProprietorNo
Enumeration DateOctober 7, 2021
Last NPPES UpdateMarch 23, 20252 updates tracked since enumeration
NPPES CertifiedMarch 23, 2025
✔ NPI 1467114306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F347757
30 RAMLAND RD S STE 200A, Orangeburg, NY 10962
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Elizabeth Rough 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 Reassignment

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

Boston Children's Health Physicians, LLP
8.8 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10962 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 3

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

ERIN SHYONG RD
Nutritionist
30 RAMLAND RD S STE 200A
ORANGEBURG, NY 10962
Rockland County (845) 359-0010
ERICA BOYLAN NP
Nurse Practitioner (Family)
30 RAMLAND RD S STE 200A
ORANGEBURG, NY 10962
Rockland County (845) 359-0010
KIMBERLY D KINNEY M.D.
Pediatrics
30 RAMLAND RD S STE 200A
ORANGEBURG, NY 10962
Rockland County (845) 359-0010

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 Rough's NPI number?

The NPI number for Jessica Rough is 1467114306. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Jessica Rough located?

Jessica Rough practices at 30 Ramland Rd S Ste 200A, Orangeburg, NY 10962. The listed phone number is (845) 359-0010.

What is Jessica Rough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Rough enrolled in Medicare?

Yes. Jessica Rough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Rough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Rough reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, 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 Jessica Rough'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 Jessica Rough was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.