JENNA GROSSMAN BAKRUKOV FNP
NPI 1942063490
Nurse Practitioner - Family in Syracuse, NY
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
Specialties & Licenses
Other Names 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jenna Bakrukov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYPhysician 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.
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.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
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.
Which organization bills Medicare for Jenna Bakrukov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Bakrukov reassigns Medicare benefits to Upstate University Radiation Oncology, Inc. (Syracuse, 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 Jenna Bakrukov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 20 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.
# Jenna Grossman Bakrukov, FNP · NPI 1942063490
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since February 6, 2024.
## Identity
- **NPI:** 1942063490 (Entity type: Individual)
- **Enumerated:** February 6, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 352049 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 E ADAMS ST, Syracuse, NY 13210-2306
- **Phone:** (855) 964-4673
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Upstate University Radiation Oncology, Inc. (NPI 1922337195, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1942063490) · Data from the CMS NPPES public registry.