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JILLIAN ROSE ALLEN RN
NPI 1750012761
Nurse Practitioner - Psychiatric/Mental Health in Alexandria Bay, NY

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment
4 FULLER ST, ALEXANDRIA BAY, NY 13607(315) 482-1277 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jillian Rose Allen Rn NPPES

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

JILLIAN ROSE ALLEN RN (NPI 1750012761) is an individual psychiatric/mental health provider in Alexandria Bay, New York, licensed in New York (407589) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with River Hospital Clinics, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750012761
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJILLIAN ROSE ALLENCredential: RN
Location Address4 FULLER STAlexandria Bay, NY 13607-1391
Mailing Address4 Fuller StAlexandria Bay, NY 13607-1391
Phone(315) 482-1277
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 21, 2022
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1750012761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 407589
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 818965 (NY)
4 FULLER ST, Alexandria Bay, NY 13607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jillian Rose Allen Rn 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 ID6103313150
PECOS Enrollment IDI20251014003073
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 Jillian Allen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

River Hospital, Inc.
Same address
Critical Access
4 FULLER ST
Alexandria Bay, NY 13607
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
NPI 1003814641 (315) 482-2511

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

River Hospital Clinics

Critical Access Hospitals · Alexandria Bay, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331309
Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13607 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.

BRIAN THOMAS ZAFONTE M.D., PH.D.
Orthopaedic Surgery
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-1251
RIVER HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-2511
MR. BRADLEY DUANE FREY PA-C
Physician Assistant
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-1203
DR. EVELYN ROSE VENTO M.D.
Psychiatry & Neurology (Psychiatry)
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-2511
CRYSTAL ROWLEY LMSW
Social Worker
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-1277
MRS. ERICA DENNER LCSW
Social Worker
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-1277
SEAWAY RADIOLOGY PC
Radiology (Diagnostic Radiology)
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-2511
MS. AMANDA RYDBERG PA
Physician Assistant
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Jefferson County (315) 482-2511

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 Jillian Allen's NPI number?

The NPI number for Jillian Allen is 1750012761. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Jillian Allen located?

Jillian Allen practices at 4 Fuller St, Alexandria Bay, NY 13607. The listed phone number is (315) 482-1277.

What is Jillian Allen's specialty?

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

Is Jillian Allen enrolled in Medicare?

Yes. Jillian Allen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jillian Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Allen reassigns Medicare benefits to River Hospital, Inc. (Alexandria Bay, 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 Jillian Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jillian Allen affiliated with any hospitals?

According to CMS data, Jillian Allen is affiliated with River Hospital Clinics.

When was this NPI record last updated?

The NPPES record for Jillian Allen was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.