JESSICA S HOLMBERG ACNP, CCRN
NPI 1609154301
Nurse Practitioner - Acute Care in New York, NY

Active since July 28, 2011PECOS Enrolled
84.47/100
CMS Quality Rating
560 1ST AVE, SUITE 9V, NEW YORK, NY 10016(212) 263-1999 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica S Holmberg Acnp, Ccrn NPPES

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

JESSICA S HOLMBERG ACNP, CCRN (NPI 1609154301) is an individual acute care provider in New York, New York, licensed in New York (F430599-1) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609154301
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJESSICA S HOLMBERGCredential: ACNP, CCRN
Location Address560 1ST AVE, SUITE 9VNew York, NY 10016-6402
Mailing Address560 1st Ave, Suite 9vNew York, NY 10016-6402 · (212) 263-1999
Sole ProprietorNo
Enumeration DateJuly 28, 2011
NPI 1609154301 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
License Licensed in NY · F430599-1
560 1ST AVE, New York, NY 10016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica S Holmberg Acnp, Ccrn 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.

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$13.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$67.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
560 1ST AVE, DEPARTMENT OF PATHOLOGY, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
Internal Medicine (Cardiovascular Disease)
560 1ST AVE, HW228
NEW YORK, NY 10016
Pediatrics (Neurodevelopmental Disabilities)
560 1ST AVE
NEW YORK, NY 10016
Radiology (Diagnostic Radiology)
560 1ST AVE
NEW YORK, NY 10016
Radiology (Diagnostic Radiology)
560 1ST AVE
NEW YORK, NY 10016
Radiology (Diagnostic Radiology)
560 1ST AVE
NEW YORK, NY 10016
Radiology (Diagnostic Radiology)
560 1ST AVE
NEW YORK, NY 10016
Radiology (Diagnostic Radiology)
560 1ST AVE
NEW YORK, NY 10016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609154301, enumerated as an "individual" on July 28, 2011.

The provider is located at 560 1ST AVE SUITE 9V NEW YORK, NY 10016 and the phone number is (212) 263-1999.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.