JENNA GUARDINO RN BSN FNP B.C
NPI 1821726878
Nurse Practitioner - Family in Port Jefferson, NY

Q: What is Jenna Guardino's NPI number?

The NPI number for Jenna Guardino is 1821726878. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Q: What is Jenna Guardino'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 Jenna Guardino was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 09, 2022PECOS Enrolled

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Aug 9, 2022 (2 updates tracked since 2022).

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About Jenna Guardino Rn Bsn Fnp B.c NPPES

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

JENNA GUARDINO RN BSN FNP B.C (NPI 1821726878) is an individual family provider in Port Jefferson, New York, licensed in New York (349813) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821726878

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNA GUARDINOCredential: RN BSN FNP B.C

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2190

Mailing Address14 Stanley CtRonkonkoma, NY 11779-4537 · (631) 648-0078

Phone(631) 473-1320

Sole ProprietorNo

Enumeration DateAugust 9, 2022

Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1821726878 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 · 349813

75 N COUNTRY RD, Port Jefferson, NY 11777

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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)

Jenna Guardino Rn Bsn Fnp B.c 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 11777 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.

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.

JUSTINA CATHERINE MELLONE DO

Student in an Organized Health Care Education/Training Program