JESSICA MARIE MAGIONCALDA PMHNP-BC
NPI 1629808563
Nurse Practitioner - Psychiatric/Mental Health in Farmingville, NY

Q: What is Jessica Magioncalda's NPI number?

The NPI number for Jessica Magioncalda is 1629808563. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Q: What is Jessica Magioncalda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 06, 2024PECOS EnrolledAccepts Medicare Assignment

100 GRANNY RD STE 1, FARMINGVILLE, NY 11738(631) 696-4957 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2024, Aug 6, 2024 (2 updates tracked since 2024).

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About Jessica Marie Magioncalda Pmhnp-bc NPPES

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

JESSICA MARIE MAGIONCALDA PMHNP-BC (NPI 1629808563) is an individual psychiatric/mental health provider in Farmingville, New York, licensed in New York (405989) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of City University Of New York School Of Medicine (2024).

NPPES Registry Identity

NPI1629808563

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA MARIE MAGIONCALDACredential: PMHNP-BC

Location Address100 GRANNY RD STE 1Farmingville, NY 11738-2879

Mailing Address6 Circle CtFarmingville, NY 11738-2309 · (631) 459-0344

Phone(631) 696-4957

Sole ProprietorNo

Medical School CMSCity University Of New York School Of MedicineGraduated 2024

Enumeration DateAugust 6, 2024

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1629808563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 405989

100 GRANNY RD STE 1, Farmingville, NY 11738

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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 and accepts Medicare assignment

Jessica Marie Magioncalda Pmhnp-bc 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 ID1658804901

PECOS Enrollment IDI20241025001078

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 11738 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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Other Providers at the Same Location NPPES 19

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

JOAN WHITE PA

Physician Assistant