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

Jody Cepeda, FNP

Individual provider Family Nurse Practitioner · NPI 1801967484

Jody Cepeda, FNP is a Nurse Practitioner in Middletown, New York. Qualified in 2005, 21 years ago. Practices with Tri State Surgical Associates PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
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

384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073
Phone: (845) 692-8780
Fax: (845) 692-3439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 460 Gidney Ave, Newburgh, NY 12550-3117 — (845) 692-8780

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F334584-1 (NY)

Record details

NPI number1801967484
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address384 Crystal Run Rd Ste 201, Middletown, NY 10941-4073

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tri State Surgical Associates Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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