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JENNIFER LYNN HOLMBERG FNP
NPI 1659040079
Nurse Practitioner - Family in Vestal, NY

Active since September 09, 2021PECOS Enrolled
400 PLAZA DRIVE, SUITE C, VESTAL, NY 13850(607) 237-0065 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2024, Sep 9, 2021 (2 updates tracked since 2021).

About Jennifer Lynn Holmberg Fnp NPPES

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

JENNIFER LYNN HOLMBERG FNP (NPI 1659040079) is an individual family provider in Vestal, New York, licensed in New York (348217) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659040079
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYNN HOLMBERGCredential: FNP
Location Address400 PLAZA DRIVE, SUITE CVestal, NY 13850
Mailing Address400 Plaza Drive, Suite CVestal, NY 13850 · (607) 237-0065 · Fax (888) 832-4418
Phone(607) 237-0065
Sole ProprietorYes
Enumeration DateSeptember 9, 2021
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1659040079 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 · 348217
400 PLAZA DRIVE, Vestal, NY 13850
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lynn Holmberg Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Holmberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Our Lady Of Lourdes Memorial Hospital Inc.
1.0 mi
General Acute Care Hospital
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 386 clinicians in this Medicare group
NPI 1629087580 (607) 798-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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

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

JEANETTE S KLEGER CM
Midwife
400 PLAZA DRIVE, SUITE D
VESTAL, NY 13850
Broome County (607) 729-0591

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 Holmberg's NPI number?

The NPI number for Jennifer Holmberg is 1659040079. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Jennifer Holmberg located?

Jennifer Holmberg practices at 400 Plaza Drive Suite C, Vestal, NY 13850. The listed phone number is (607) 237-0065.

What is Jennifer Holmberg's specialty?

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

Is Jennifer Holmberg enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Holmberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Holmberg reassigns Medicare benefits to Our Lady Of Lourdes Memorial Hospital Inc. (Binghamton, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Holmberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Holmberg was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.