JILLIAN ELYSE HERRINGTON PNP
NPI 1922451863
Nurse Practitioner - Pediatrics in Gansevoort, NY

Q: What is Jillian Herrington's NPI number?

The NPI number for Jillian Herrington is 1922451863. It was assigned to this individual provider in the NPPES registry on July 15, 2016. The provider is also known as Jillian Elyse Neudecker.

Q: What is Jillian Herrington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since July 15, 2016PECOS Enrolled

1299 ROUTE 9, GANSEVOORT, NY 12831(518) 761-6961(518) 761-1006 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jillian Elyse Herrington Pnp NPPES

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

JILLIAN ELYSE HERRINGTON PNP (NPI 1922451863) is an individual pediatrics provider in Gansevoort, New York, licensed in New York (382665) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Edward.

NPPES Registry Identity

NPI1922451863

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJILLIAN ELYSE HERRINGTONCredential: PNP

Location Address1299 ROUTE 9Gansevoort, NY 12831-1560

Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388

Phone(518) 761-6961

Fax(518) 761-1006

Sole ProprietorNo

Enumeration DateJuly 15, 2016

Last NPPES UpdateApril 25, 2025

NPPES CertifiedApril 25, 2025

✔ NPI 1922451863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 382665

1299 ROUTE 9, Gansevoort, NY 12831

Open in Google Maps ↗

Other Names 1

Former Name (1)Jillian Elyse Neudecker

Secondary Practice Location 1

Location 148 East StFort Edward, NY 12828-1811 · Phone (518) 824-8630 · Fax (518) 824-2302

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Elyse Herrington Pnp 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 12831 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 16

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

ERIN M MORINE DO

Emergency Medicine (Sports Medicine)