JENNA GROSSMAN BAKRUKOV FNP
NPI 1942063490
Nurse Practitioner - Family in Syracuse, NY

Active since February 06, 2024PECOS EnrolledAccepts Medicare Assignment
750 E ADAMS ST, SYRACUSE, NY 13210(855) 964-4673 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Grossman Bakrukov Fnp NPPES

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

JENNA GROSSMAN BAKRUKOV FNP (NPI 1942063490) is an individual family provider in Syracuse, New York, licensed in New York (352049) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942063490
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNA GROSSMAN BAKRUKOVCredential: FNP
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address607 Kimry MoorFayetteville, NY 13066-1857 · (315) 256-6624
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 6, 2024
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1942063490 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 · 352049
750 E ADAMS ST, Syracuse, NY 13210

Other Names 1

Former Name (1)Jenna Grossman

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

Jenna Grossman Bakrukov 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 ID7416396288
PECOS Enrollment IDI20240413000129
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.

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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.

Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210

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 Jenna Bakrukov's NPI number?

The NPI number for Jenna Bakrukov is 1942063490. It was assigned to this individual provider in the NPPES registry on February 6, 2024. The provider is also known as Jenna Grossman.

Where is Jenna Bakrukov located?

Jenna Bakrukov practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (855) 964-4673.

What is Jenna Bakrukov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jenna Bakrukov enrolled in Medicare?

Yes. Jenna Bakrukov 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.

Is Jenna Bakrukov affiliated with any hospitals?

According to CMS data, Jenna Bakrukov is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Jenna Bakrukov was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.