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

Jennifer Jarvis

Individual provider Family Nurse Practitioner · NPI 1164921979

Jennifer Jarvis is registered under Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Qualified in 2024, 2 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (516) 644-7598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 682756-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 342533 (NY)

Record details

NPI number1164921979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2018
Last updated in NPPESFebruary 2, 2025
Certification dateFebruary 2, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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