DR. JENNIFER PROCTOR MD
NPI 1639735186
Student in an Organized Health Care Education/Training Program in Williamsville, NY

Q: What is Jennifer Proctor's NPI number?

The NPI number for Jennifer Proctor is 1639735186. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Q: What is Jennifer Proctor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Proctor was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 09, 2019PECOS Enrolled

850 HOPKINS RD, WILLIAMSVILLE, NY 14221(716) 688-9641 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jennifer Proctor Md NPPES

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

DR. JENNIFER PROCTOR MD (NPI 1639735186) is an individual student in an organized health care education/training program in Williamsville, New York and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639735186

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JENNIFER PROCTORCredential: MD

Location Address850 HOPKINS RDWilliamsville, NY 14221-1729

Mailing Address850 Hopkins RdWilliamsville, NY 14221-1729 · (716) 688-9641

Phone(716) 688-9641

Sole ProprietorNo

Enumeration DateMay 9, 2019

✔ NPI 1639735186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

850 HOPKINS RD, Williamsville, NY 14221

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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)

Dr. Jennifer Proctor Md 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.

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.

JESSE MICHAEL KOZUB MD

Student in an Organized Health Care Education/Training Program