Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. JESSIE M. FISK FNP-C
NPI 1629029384
Nurse Practitioner - Family in Ithaca, NY

Q: What is Jessie Fisk's NPI number?

The NPI number for Jessie Fisk is 1629029384. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Jessie Fisk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessie Fisk was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.

Active since May 15, 2006PECOS Enrolled

2359 N TRIPHAMMER RD, ITHACA, NY 14850(607) 257-1691(607) 257-3163 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jessie M. Fisk Fnp-c NPPES

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

MS. JESSIE M. FISK FNP-C (NPI 1629029384) is an individual family provider in Ithaca, New York, licensed in New York (F331505) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629029384

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. JESSIE M. FISKCredential: FNP-C

Location Address2359 N TRIPHAMMER RDIthaca, NY 14850-1059

Mailing Address3749 Preston RdCincinnatus, NY 13040-3100 · (607) 863-4796

Phone(607) 257-1691

Fax(607) 257-3163

Sole ProprietorNo

Enumeration DateMay 15, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1629029384 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 · F331505

2359 N TRIPHAMMER RD, Ithaca, NY 14850

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jessie M. Fisk Fnp-c 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 14850 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.

JASMINE O MARCUS PT, DPT

Physical Therapist