JENNIFER W SMALL FNP-BC
NPI 1619441748
Nurse Practitioner - Family in Fresh Meadows, NY

Active since January 11, 2019PECOS Enrolled
5916 174TH ST, FRESH MEADOWS, NY 11365(917) 841-9256 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2023, Feb 1, 2019, Jan 11, 2019 (3 updates tracked since 2019).

About Jennifer W Small Fnp-bc NPPES

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

JENNIFER W SMALL FNP-BC (NPI 1619441748) is an individual family provider in Fresh Meadows, New York, licensed in New York (342248) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619441748
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER W SMALLCredential: FNP-BC
Location Address5916 174TH STFresh Meadows, NY 11365-1539
Mailing Address18706 Rome DrSaint Albans, NY 11412-2607 · (917) 841-9256
Sole ProprietorNo
Enumeration DateJanuary 11, 2019
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
NPI 1619441748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 342248
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License F342248-1 (NY)
5916 174TH ST, Fresh Meadows, NY 11365

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer W Small Fnp-bc 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 11365 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 6

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

Physician Assistant
5916 174TH ST
FRESH MEADOWS, NY 11365
Psychiatry & Neurology (Neurology)
5916 174TH ST, LOWER LEVEL
FRESH MEADOWS, NY 11365
Nurse Practitioner (Family)
5916 174TH ST
FRESH MEADOWS, NY 11365
Physician Assistant (Medical)
5916 174TH ST, FRESH MEADOWS
FRESH MEADOWS, NY 11365
Dentist (Prosthodontics)
5916 174TH ST
FRESH MEADOWS, NY 11365
Psychiatry & Neurology (Neurology)
5916 174TH ST
FLUSHING, NY 11365

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 Small's NPI number?

The NPI number for Jennifer Small is 1619441748. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Jennifer Small located?

Jennifer Small practices at 5916 174th St, Fresh Meadows, NY 11365. The listed phone number is (917) 841-9256.

What is Jennifer Small's specialty?

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

Is Jennifer Small enrolled in Medicare?

Yes. Jennifer Small is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Small was last updated on January 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.