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JESSICA MASTANDREA FNP
NPI 1568063543
Nurse Practitioner - Family in Ellenville, NY

Active since November 05, 2020PECOS EnrolledAccepts Medicare Assignment
10 HEALTHY WAY, ELLENVILLE, NY 12428(845) 647-6400 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Nov 5, 2020 (2 updates tracked since 2020).

About Jessica Mastandrea Fnp NPPES

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

JESSICA MASTANDREA FNP (NPI 1568063543) is an individual family provider in Ellenville, New York, licensed in New York (F346380-01) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568063543
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA MASTANDREACredential: FNP
Location Address10 HEALTHY WAYEllenville, NY 12428-5612
Mailing Address11 Sprague CtEllenville, NY 12428-5115 · (845) 853-2826
Phone(845) 647-6400
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 5, 2020
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1568063543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F346380-01
10 HEALTHY WAY, Ellenville, NY 12428
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mastandrea Fnp 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 ID6800209875
PECOS Enrollment IDI20210112001529
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
206 services196 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services61 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Ellenville Regional Hospital

Critical Access Hospitals · Ellenville, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331310
Location10 Healthy WayEllenville, NY 12428 · Ulster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12428 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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 11

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

WESTCHESTER-ELLENVILLE HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
10 HEALTHY WAY
ELLENVILLE, NY 12428
Ulster County (845) 647-6400
SAEEDA A MAHMUD MD
Internal Medicine (Cardiovascular Disease)
10 HEALTHY WAY
ELLENVILLE, NY 12428
Ulster County (845) 647-2510
SELINA ELIZABETH GUENDEL PT, DPT
Physical Therapist
10 HEALTHY WAY
ELLENVILLE, NY 12428
Ulster County (845) 210-3035
DR. STEFAN THOMAS RAU M.D.
Radiology (Diagnostic Radiology)
10 HEALTHY WAY, ELLENVILLE REGIONAL HOSPITAL- RADIOLOGY DEPT
ELLENVILLE, NY 12428
Ulster County (845) 647-6400
ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC
Emergency Medicine
10 HEALTHY WAY
ELLENVILLE, NY 12428
Ulster County (469) 401-2386
HEALTH QUEST MEDICAL PRACTICE
Internal Medicine (Cardiovascular Disease)
10 HEALTHY WAY
ELLENVILLE, NY 12428
Ulster County (845) 647-2510
HUDSON VALLEY RADIOLOGISTS, PC
Radiology (Diagnostic Radiology)
10 HEALTHY WAY
ELLENVILLE, NY 12428
Ulster County (845) 790-5700
MS. SANG EUN LEE MSPT
Physical Therapist
10 HEALTHY WAY
ELLENVILLE, NY 12428
Ulster County (845) 210-3035

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 Mastandrea's NPI number?

The NPI number for Jessica Mastandrea is 1568063543. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Jessica Mastandrea located?

Jessica Mastandrea practices at 10 Healthy Way, Ellenville, NY 12428. The listed phone number is (845) 647-6400.

What is Jessica Mastandrea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Mastandrea enrolled in Medicare?

Yes. Jessica Mastandrea 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 Jessica Mastandrea affiliated with any hospitals?

According to CMS data, Jessica Mastandrea is affiliated with Garnet Health Medical Center and Ellenville Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Mastandrea was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.