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JACKIE LYNN ST LEGER FNP
NPI 1851182513
Student in an Organized Health Care Education/Training Program in Albany, NY

Active since May 13, 2025PECOS EnrolledAccepts Medicare Assignment
1438 WESTERN AVE, ALBANY, NY 12203(518) 649-9986 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackie Lynn St Leger Fnp NPPES

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

JACKIE LYNN ST LEGER FNP (NPI 1851182513) is an individual student in an organized health care education/training program in Albany, New York and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1851182513
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE LYNN ST LEGERCredential: FNP
Location Address1438 WESTERN AVEAlbany, NY 12203-3421
Mailing Address905 Knox Cave RdAltamont, NY 12009-3014 · (518) 210-3583
Phone(518) 649-9986
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 13, 2025
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1851182513 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.
1438 WESTERN AVE, Albany, NY 12203
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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

Jackie Lynn St Leger Fnp 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 ID5698283406
PECOS Enrollment IDI20250804001434
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 Jackie St Leger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellnow Urgent Care, PC
125 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032

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

Other Providers at the Same Location NPPES 6

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

CHELSEA MANTICA
Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Albany County (315) 454-6000
HANNAH ROSE ENDERS FNP-BC
Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Albany County (518) 649-9986
NICOLE ADELLA DELIGHT-MCCANN FNP
Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Albany County (716) 699-9032
CHRISTA FRATINO PAC
Physician Assistant
1438 WESTERN AVE
ALBANY, NY 12203
Albany County (518) 649-9986
MRS. KATHLEEN ANN MILLETT FNP
Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Albany County (518) 218-4220
SVETLANA BERESNEVA
Nurse Practitioner
1438 WESTERN AVE
ALBANY, NY 12203
Albany County (518) 649-9986

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 Jackie St Leger's NPI number?

The NPI number for Jackie St Leger is 1851182513. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Jackie St Leger located?

Jackie St Leger practices at 1438 Western Ave, Albany, NY 12203. The listed phone number is (518) 649-9986.

What is Jackie St Leger's specialty?

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

Is Jackie St Leger enrolled in Medicare?

Yes. Jackie St Leger 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 Jackie St Leger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie St Leger reassigns Medicare benefits to Wellnow Urgent Care, PC (Liverpool, 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 Jackie St Leger'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 Jackie St Leger was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.