MRS. JENNIFER LEE ZAJAC
NPI 1609965565
Nurse Practitioner - Women's Health in Fort Drum, NY

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
11050 MT BELVEDERE BLVD, USA MEDDAC, FORT DRUM, NY 13602(315) 785-4624 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 17, 2024 (2 updates tracked since 2024).

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

NPI1609965565
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. JENNIFER LEE ZAJAC
Location Address11050 MT BELVEDERE BLVD, USA MEDDACFort Drum, NY 13602-5004
Mailing AddressUsa Meddac, 11050 Mt Belvedere BlvdFort Drum, NY 13602
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 11, 2006
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1609965565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NY · 420663
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 002171 (NY)
11050 MT BELVEDERE BLVD, Fort Drum, NY 13602

Other Identifiers 1

Medicaid03400828NY

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

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.

PECOS PAC ID9436280674
PECOS Enrollment IDI20100701000463
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services43 patients

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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Family Medicine
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Psychologist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Physical Therapist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602

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.

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 22 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.