Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Ann Ponticiello, NPP, FNP

Individual provider Family Nurse Practitioner · NPI 1588977763

Jacqueline Ann Ponticiello, NPP, FNP is a Nurse Practitioner in Vestal, New York. Qualified in 2019, 7 years ago. Practices with Jacqueline Ponticiello Psychiatric NP, PLLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1901 Vestal Pkwy E Ste 2W
Vestal, NY 13850-1966
Phone: (607) 341-4950
Fax: (607) 341-4933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402886 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F336411 (NY)

Record details

NPI number1588977763
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPP , FNP
Sole proprietorYes
NPI enumeratedJuly 16, 2010
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jacqueline Ponticiello Psychiatric Np, Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Vestal