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: August 16, 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
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

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

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Physician Assistant
1438 WESTERN AVE
ALBANY, NY 12203
Nurse Practitioner (Family)
1438 WESTERN AVE
ALBANY, NY 12203
Nurse Practitioner
1438 WESTERN AVE
ALBANY, NY 12203

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.

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 12 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.