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

Matthew Clark Jenison, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1285994202

Matthew Clark Jenison, ACNP is a Nurse Practitioner in Potsdam, New York. Qualified in 2012, 14 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

50 Leroy St
Potsdam, NY 13676-1786
Phone: (315) 265-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 430637 (NY)

Record details

NPI number1285994202
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedMay 23, 2012
Last updated in NPPESMay 23, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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