MRS. JENNIFER LEE ZAJAC
NPI 1609965565
Nurse Practitioner - Women's Health in Fort Drum, NY
About Mrs. Jennifer Lee Zajac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER LEE ZAJAC (NPI 1609965565) is an individual women's health provider in Fort Drum, New York, licensed in New York (420663) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jennifer Lee Zajac 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Zajac reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watertown, NY 13601
- Reassigned Medicare billing, New York enrollment
- 13 clinicians in this Medicare group
Watertown, NY 13601
- Reassigned Medicare billing, New York enrollment
- 183 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jennifer Zajac's NPI number?
The NPI number for Jennifer Zajac is 1609965565. It was assigned to this individual provider in the NPPES registry on October 11, 2006.
Where is Jennifer Zajac located?
Jennifer Zajac practices at 11050 Mt Belvedere Blvd Usa Meddac, Fort Drum, NY 13602. The listed phone number is (315) 785-4624.
What is Jennifer Zajac's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Jennifer Zajac enrolled in Medicare?
Yes. Jennifer Zajac 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.
Which organizations bill Medicare for Jennifer Zajac's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Zajac reassigns Medicare benefits to 2 organizations: Planned Parenthood Of The North Country New York, Inc. (Watertown, NY) and Samaritan Medical Center (Watertown, NY). Each 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 Jennifer Zajac'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 Jennifer Zajac was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mrs. Jennifer Lee Zajac · NPI 1609965565
Women's Health physician in Fort Drum, New York. Individual provider, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1609965565 (Entity type: Individual)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 420663 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 11050 MT BELVEDERE BLVD, USA MEDDAC, Fort Drum, NY 13602-5004
- **Phone:** (315) 785-4624
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Planned Parenthood Of The North Country New York, Inc. (NPI 1407907215, Watertown, NY); Samaritan Medical Center (NPI 1093722068, Watertown, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** September 16, 2024
- **Other identifiers:** Medicaid 03400828 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1609965565) · Data from the CMS NPPES public registry.