MARY GRACE JACON FNP
NPI 1699736520
Nurse Practitioner - Family in Rensselaer, NY

Q: What is Mary Grace Jacon's NPI number?

The NPI number for Mary Grace Jacon is 1699736520. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Mary Grace Jacon'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 Mary Grace Jacon was last updated on August 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2006PECOS Enrolled

2 EMPIRE DR, SUITE 100, RENSSELAER, NY 12144(518) 286-4899(518) 286-4859 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mary Grace Jacon Fnp NPPES

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

MARY GRACE JACON FNP (NPI 1699736520) is an individual family provider in Rensselaer, New York, licensed in New York (330909) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1699736520

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY GRACE JACONCredential: FNP

Location Address2 EMPIRE DR, SUITE 100Rensselaer, NY 12144-5730

Mailing AddressPo Box 689Troy, NY 12181-0689 · (518) 268-5000

Phone(518) 286-4899

Fax(518) 286-4859

Sole ProprietorNo

Enumeration DateMarch 30, 2006

Last NPPES UpdateAugust 22, 2019

✔ NPI 1699736520 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 · 330909

2 EMPIRE DR, Rensselaer, NY 12144

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11 Tallow Wood DrClifton Park, NY 12065-2807 · Phone (518) 373-4444

Location 279 Vandenburgh AveTroy, NY 12180-6024 · Phone (518) 286-3000

Location 31300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-5234

Location 4377 Church StSaratoga Springs, NY 12866-8641 · Phone (518) 584-4456

Other Identifiers 1

Medicaid02251747NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Grace Jacon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12144 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.

Leave this field empty

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.

MRS. LINDSAY BISHOP RN, FNP

Nurse Practitioner (Family)