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Active NPI 1316369903 Individual Practitioner Female Practitioner

Jessica Bacci , CPNP-PC

Nurse Practitioner - Pediatrics • Lindenhurst, NY

Professional Overview & Biography Verified Profile Summary

Jessica Bacci, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Lindenhurst, NY. Practice services are available at 458 S 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

458 S 12th St

Lindenhurst, NY 117574520

Telephone 5166614954

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Lindenhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Lindenhurst, NY (1823 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-23
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NY 202223706

Definition to come...

Registered Nurse - School

NUCC Taxonomy Code: 163WS0200X

State License NY 668606-1

Definition to come...

Secondary Practice Locations

418 S 14th St

Lindenhurst, NY 117574436

Phone: 5166614954

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 23, 2022

Registered at 458 S 12TH ST, LINDENHURST, NY 117574520 (Tel: 5166614954)

📍
Updated Business Mailing Address August 23, 2022

Registered at 458 S 12TH ST, LINDENHURST, NY 117574520 (Tel: 5166614954)

👤
Provider Name / Credentials Updated August 23, 2022

Recorded as JESSICA BACCI, CPNP-PC

✅
NPI Profile Active January 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2014

Registered at 418 S 14TH ST, LINDENHURST, NY 117574436 (Tel: 5166614954)

📍
Updated Business Mailing Address January 15, 2014

Registered at 418 S 14TH ST, LINDENHURST, NY 117574436 (Tel: 5166614954)

👤
Provider Name / Credentials Updated January 15, 2014

Recorded as JESSICA BACCI, R.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2014

Registered Nurse (License #668606-1 in NY)

🟢
Initial NPI Registration & Enumeration January 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316369903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2014
Last Update: August 23, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

458 S 12th St

Lindenhurst, NY 117574520

Phone: 5166614954

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.